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NPI Code Detail

MEDICARE: DR. CAMILLE A SOMMER MD

MEDICARE: DR. CAMILLE A SOMMER 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
1207RG0100XGastroenterology PhysicianTN50544TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417195207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAMILLE A SOMMER MD
Provider Business Mailing Address
First Line : 4976 ALPHA LN
Second Line :
City : HIXSON
State : TN
Zip : 37343-5470
Country : US
Telephone Number : 423-497-5355
Fax Number : 423-308-0281
Provider Business Practice Location Address
First Line : 2200 E 3RD ST STE 200
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-2745
Country : US
Telephone Number : 423-643-2500
Fax Number : 423-305-7822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2009
Last Update Date : 04/05/2023

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Directions to “ DR. CAMILLE A SOMMER MD” Practice Location

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