Summit Medical Group,pllc

NPI #1356057681 in Goodlettsville, Tennessee

Provider Information

NPI Number: 1356057681
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 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 3103 BUSINESS PARK CIR STE 100
City: Goodlettsville
State: Tennessee
ZIP Code: 37072-3676
Phone: (615) 851-7865

Authorized Official

Name: ZANDRA M MILLS, BSOM, COPCS
Title: CREDENTIALING MANAGER
Phone: (865) 500-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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