Summit Medical Group Pllc

NPI #1225835754 in Jefferson City, Tennessee

Provider Information

NPI Number
1225835754
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
Mar 3, 2025
Last Updated
Mar 27, 2025

Practice Location

Address
123 MOSSY CREEK DRIVE
ZIP Code
37760-2410
Phone
(865) 475-5377

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics

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