Summerlin, Holly G
Summerlin, Holly G is an individual health care provider with primary practice located at 4507 Hospital St , Pascagoula MS 39581-5336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Summerlin, Holly G can be contacted via phone (228) 762-8132.Contact Information
Primary practice address
4507 Hospital St
Pascagoula MS 39581-5336
Phone: (228) 762-8132
Fax: (228) 769-9231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 18604 | Mississippi |
Profile Details
| NPI number | 1508843772 |
|---|---|
| LBN Legal business name | Summerlin, Holly G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 14th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508843772 | NPPES |
| Mississippi | MEDICAID | 08826864 |
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