NPI 1215971288

Bradley F. Sumrall, PAC

Practitioner Surgical Physician Assistant Columbus, MS

Practice location

Address: 255 Baptist Blvd Suite 401, Columbus, MS 39705-2011
Phone: (662) 244-2288
Fax: (662) 244-2289
Mailing address: PO Box 405827, Atlanta, GA 30384-5827

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA00066 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1215971288
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2006
Record last updated: 15 Oct 2010

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.