Provider Demographics
NPI:1427780691
Name:FLEMING, SUMMER ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:ELIZABETH
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12925 HIGHWAY 601 STE 300
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-9536
Mailing Address - Country:US
Mailing Address - Phone:704-888-3702
Mailing Address - Fax:
Practice Address - Street 1:12925 HIGHWAY 601 STE 300
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107
Practice Address - Country:US
Practice Address - Phone:704-888-3702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001012990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine