Individual ProviderSavannah SumnerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(229) 457-1461PECOS EnrollmentBased on the most recent information from CMS, provider Savannah Sumner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1235744988Provider TypeIndividualFull NameSumner, SavannahGenderFemaleSole ProprietorNoEnumeration Date9/10/2020Last Updated11/13/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(229) 457-1461FaxUnlisted FaxMailing LocationMailing Address428 Iris Rd, Fitzgerald, GA 31750-7069Phone(229) 457-1461FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF07200232Georgia