Summit Medical Group,pllc
NPI #1629836820 in Crossville, Tennessee
Provider Information
- NPI Number
- 1629836820
- 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
- Mar 12, 2024
- Last Updated
- Jan 20, 2025
Practice Location
- Address
- 189 LANTANA RD STE 102
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-4902
- Phone
- (931) 456-0881
Authorized Official
- Name
- JENNIFER RANEY
- Title
- PROVIDER ENROLLMENT SUPERVISOR
- Phone
- (865) 269-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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