Healthcare Provider Details

I. General information

NPI: 1538192141
Provider Name (Legal Business Name): MARGARET ZAVADA SUMMITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 WOLF TRAIL COVE
GERMANTOWN TN
38138-1753
US

IV. Provider business mailing address

PO BOX 372 DEPT 10
MEMPHIS TN
38101-0372
US

V. Phone/Fax

Practice location:
  • Phone: 901-682-9222
  • Fax: 901-682-9505
Mailing address:
  • Phone: 901-202-6120
  • Fax: 901-255-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20012
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: