Summit Medical Group Pllc

NPI #1235937764 in Sevierville, Tennessee

Provider Information

NPI Number
1235937764
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 3, 2025

Practice Location

Address
629 MIDDLE CREEK RD
ZIP Code
37862-5014
Phone
(865) 453-9980

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics

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