NPI 1104875913
Summit Macon LLC
Practice location
- Address
- 235 Peachtree St NE North Tower, Suite 2100, Atlanta, GA 30303-1401
- Phone
- (770) 994-9326
- Fax
- (770) 994-4747
Authorised official
- Name
- Michael Dow Bourland
- Title
- President & Ceo
- Phone
- (770) 994-9326
Registered specialties
Emergency Medical Services (Emergency Medicine) Physician
Primary
Registry record
- NPI
- 1104875913
- Entity type
- Organization
- NPI issued
- 9 May 2006
- Record last updated
- 9 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.