Summit Medical Group Pllc

NPI #1568114130 in Cleveland, Tennessee

Provider Information

NPI Number: 1568114130
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: Jan 24, 2022
Last Updated: Jan 24, 2022

Practice Location

Address: 2700 WESTSIDE DR NW STE 103
City: Cleveland
State: Tennessee
ZIP Code: 37312-3699
Phone: (423) 472-1511

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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