MEDICARE: IOLA SUMLIN

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	146D00000X	Personal Emergency Response Attendant	01DPTB4	NC

General Provider Information

NPI Number	:	1710749130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IOLA SUMLIN

Provider Business Mailing Address
First Line	:	662 STAGS LEAP CT
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8729
Country	:	US
Telephone Number	:	336-456-6263
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 DUNDAS CIR STE G
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1645
Country	:	US
Telephone Number	:	336-456-6362
Fax Number	:	336-617-0007

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

Provider Enumeration Date	:	01/30/2024
Last Update Date	:	01/30/2024

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Directions to “ IOLA SUMLIN ” Practice Location

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