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Contact Information

JOHN W SUMMERVILLE, MD
200 MEDICAL PARK BLVD
PETERSBURG, VA23805
 Phone: 615-221-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JOHN W SUMMERVILLE · (Male)

NPI Number 1982604120
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 06/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101041829
  • VA Medicaid 006603858
Hospital affiliation(s)
  • SOUTHAMPTON MEMORIAL HOSPITAL - (Acute Care)
    100 FAIRVIEW DRIVE - PO BOX 817
    FRANKLIN, VA 23851
  • SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER - (Acute Care)
    727 NORTH MAIN STREET
    EMPORIA, VA 23847
  • SOUTHSIDE REGIONAL MEDICAL CENTER - (Acute Care)
    200 MEDICAL PARK BOULEVARD
    PETERSBURG, VA 23805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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