MEDICARE: DEBORAH B SUMNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	50446	GA

General Provider Information

NPI Number	:	1134225303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH B SUMNER MD

Provider Business Mailing Address
First Line	:	7741 ROSWELL RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350
Country	:	US
Telephone Number	:	404-612-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	7741 ROSWELL RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350
Country	:	US
Telephone Number	:	404-612-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	11/21/2011

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