Summit Medical Group,pllc

NPI #1588362164 in Cookeville, Tennessee

Provider Information

NPI Number: 1588362164
Entity Type: Organization
Organization Name: Summit Medical Group,pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SUMMIT MEDICAL GROUP,PLLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 22, 2023
Last Updated: Feb 22, 2023

Practice Location

Address: 128 N WHITNEY AVE
City: Cookeville
State: Tennessee
ZIP Code: 38501-2493
Phone: (931) 783-4600

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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