Sumrall, Dawn M
Sumrall, Dawn M is an individual health care provider with primary practice located at 205 Marion Ave , Mccomb MS 39648-2705. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sumrall, Dawn M can be contacted via phone (601) 684-9116.Contact Information
Primary practice address
205 Marion Ave
Mccomb MS 39648-2705
Phone: (601) 684-9116
Fax: (601) 684-9126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12588 | Mississippi |
Profile Details
| NPI number | 1912017468 |
|---|---|
| LBN Legal business name | Sumrall, Dawn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 6th, 2008 - about 18 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 | 1912017468 | NPPES |
| Mississippi | MEDICAID | 00115271 | |
| Mississippi | Other | CJ3236 |
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