Provider Demographics
NPI:1881986289
Name:SUMMIT WOMENS CLINIC PLLC
Entity type:Organization
Organization Name:SUMMIT WOMENS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HULTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-879-8407
Mailing Address - Street 1:11618 US HWY 70 W
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2275
Mailing Address - Country:US
Mailing Address - Phone:919-879-8407
Mailing Address - Fax:919-879-8409
Practice Address - Street 1:11618 US HWY 70 W
Practice Address - Street 2:SUITE 204
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2275
Practice Address - Country:US
Practice Address - Phone:919-879-8407
Practice Address - Fax:919-879-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty