Summit Medical Group,pllc

NPI #1114803095 in Knoxville, Tennessee

Provider Information

NPI Number: 1114803095
Entity Type: Organization
Organization Name: Summit Medical Group,pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SUMMIT MEDICAL GROUP,PLLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2025
Last Updated: Aug 14, 2025

Practice Location

Address: 418 N BROADWAY ST
City: Knoxville
State: Tennessee
ZIP Code: 37917-7401
Phone: (865) 673-6540

Authorized Official

Name: TERESA WOLFENBARGER
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (865) 500-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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