MEDICARE: KAREN DEBORAH SUMERS M.D.

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	207W00000X	Ophthalmology Physician	21600	GA

General Provider Information

NPI Number	:	1265599195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN DEBORAH SUMERS M.D.

Provider Business Mailing Address
First Line	:	3280 HOWELL MILL RD NW
Second Line	:	SUITE 130
City	:	ATLANTA
State	:	GA
Zip	:	30327-4107
Country	:	US
Telephone Number	:	404-355-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW
Second Line	:	SUITE 130
City	:	ATLANTA
State	:	GA
Zip	:	30327-4107
Country	:	US
Telephone Number	:	404-355-5555
Fax Number	:	404-355-0055

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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