Summit Medical Group, Pllc

NPI #1194674788 in Knoxville, Tennessee

Provider Information

NPI Number: 1194674788
Entity Type: Organization
Organization Name: Summit Medical Group, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SUMMIT MEDICAL GROUP, PLLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 26, 2026
Last Updated: Jan 26, 2026

Practice Location

Address: 9017 CROSS PARK DR STE 200
City: Knoxville
State: Tennessee
ZIP Code: 37923-8605
Phone: (865) 690-1161

Authorized Official

Name: SANDRA DEE BOWLES
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (865) 584-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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