Provider Demographics
NPI:1831485796
Name:SUMNER, FELECIA N (DO)
Entity Type:Individual
Prefix:DR
First Name:FELECIA
Middle Name:N
Last Name:SUMNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:FELICIA
Other - Middle Name:N
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 N LANSDOWNE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2073
Mailing Address - Country:US
Mailing Address - Phone:215-876-0360
Mailing Address - Fax:667-239-6162
Practice Address - Street 1:85 N LANSDOWNE AVE STE 4
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2073
Practice Address - Country:US
Practice Address - Phone:215-876-0360
Practice Address - Fax:667-239-6162
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017003207Q00000X
PAOT014142390200000X
GA075917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program