| Doctor Name: | ELMER R SUMMITT |
| NPI Number: | 1922272897 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PHWH001788 |
| Business Practice Address: | 916 Lafayette Rd Suite C Rossville, GA - 307412071 |
| Business Phone Number: | 7068666600 |
| Business Fax Number: | 7068666665 |
| Mailing Address: | 916 Lafayette Rd, Suite C ROSSVILLE |
| State: | GA |
| Postal Code: | 307412071 |
| Phone Number: | 7068666600 |
| Fax Number: | 7068666665 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | PHWH001788 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |