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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY-BLAKE HARBIN SUMMERLIN, R.D.

Active Sole Proprietor

MRS. MARY-BLAKE HARBIN SUMMERLIN, R.D. is a Registered Dietitian healthcare provider located in HOLLYWOOD, Maryland. NPI 1942505516 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · HOLLYWOOD, MD

Registration Details

NPI Number
1942505516
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2011 (15.562905769989 yrs)
Last Updated
Jan 12, 2011
License
DX3157 (MD)
Sole Proprietor
Yes

Practice Information

Address
24035 THREE NOTCH RD
HOLLYWOOD, MD, 206364871
Browse MD providers · Browse ZIP 20636
Phone
3013737900
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.