MEDICARE: CYNTHIA L 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	207R00000X	Internal Medicine Physician	57685	GA

General Provider Information

NPI Number	:	1235181884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L SUMNER MD

Provider Business Mailing Address
First Line	:	250 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31201-3490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 HARTFORD RD W STE 1
Second Line	:
City	:	FORT GAINES
State	:	GA
Zip	:	39851-4331
Country	:	US
Telephone Number	:	229-210-2100
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/22/2024

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