Provider Demographics
NPI:1760805527
Name:SUMMERFORD, SARAH LYNNE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYNNE
Last Name:SUMMERFORD
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:WAKE FOREST BAPTIST MEDICAL CTR
Mailing Address - Street 2:MEDICAL CENTER BOULEVARD
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-7580
Mailing Address - Fax:336-716-5139
Practice Address - Street 1:WAKE FOREST BAPTIST MEDICAL CTR
Practice Address - Street 2:MEDICAL CENTER BOULEVARD
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-7580
Practice Address - Fax:336-716-5139
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2019-04-23
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04773363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical