| Summit Internal Medicine | |
|
3570 Grandview Parkway Suite 100-a Birmingham AL 35243-2033 | |
| (205) 595-9222 | |
| (205) 595-9444 |
| Full Name | Summit Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3570 Grandview Parkway Suite 100-a, Birmingham, Alabama |
| Authorized Official Name and Position | David Frank Wynne (DOCTOR) |
| Authorized Official Contact | 2055959222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Internal Medicine 3570 Grandview Parkway Suite 100-a Birmingham AL 35243-2033 Ph: (205) 595-9222 | Summit Internal Medicine 3570 Grandview Parkway Suite 100-a Birmingham AL 35243-2033 Ph: (205) 595-9222 |
| NPI Number | 1952454746 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 1355391889 |
|---|---|
| Medicare Enrollment ID | O20050124000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952454746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00021252 (Alabama) | Primary |
| Provider Name | David F Wynne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184712911 PECOS PAC ID: 6608826136 Enrollment ID: I20070416000497 |
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