Individual provider · Type 1 NPI

Melvin Summerville Sr.

Private Vehicle · Cordova, TN

NPI number 1235942111 Active

Practice location

1683 Smokehouse Dr
Cordova, TN 38016-8561

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1235942111

Melvin Summerville Sr.'s National Provider Identifier is 1235942111, issued on Jan 27, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Cordova, TN. The record was last updated on Jan 27, 2025.