Shane O Summers, M.D. Valid NPI

Individual provider · Family Medicine Physician · Hickory, NC

NPI

1497751671

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

9401061 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-22

Last updated

2011-02-24