Provider Demographics
NPI:1669466785
Name:SUMMIT MEDICAL HOUSE CALLS, P.C.
Entity Type:Organization
Organization Name:SUMMIT MEDICAL HOUSE CALLS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:704-942-8687
Mailing Address - Street 1:17342 WESTMILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3155
Mailing Address - Country:US
Mailing Address - Phone:704-301-3454
Mailing Address - Fax:704-752-6538
Practice Address - Street 1:17342 WESTMILL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3155
Practice Address - Country:US
Practice Address - Phone:704-301-3454
Practice Address - Fax:704-752-6538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00226261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care