Summers, Mary Grace

Summers, Mary Grace is an sole proprietor health care provider with primary practice located at 8045 Club Pkwy , Cordova TN 38016-5977. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Summers, Mary Grace can be contacted via phone (901) 758-1384.

Contact Information

Primary practice address
8045 Club Pkwy Cordova TN 38016-5977
Phone: (901) 758-1384
Fax: (901) 758-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 1429 Tennessee

Profile Details

NPI number 1780664706
LBN Legal business name Summers, Mary Grace
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jan 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780664706 NPPES
Tennessee Other 4092194 BLUE CROSS BLUE SHIELD
Tennessee Other 2240091 BLUE CROSS BLUE SHIELD

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