Summit Medical Group, Pllc

NPI #1639206212 in Knoxville, Tennessee

Provider Information

NPI Number
1639206212
Entity Type
Organization
Organization Name
Summit Medical Group, Pllc
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 28, 2007
Last Updated
Jan 19, 2021

Practice Location

Address
280 FORT SANDERS WEST BLVD STE 101
ZIP Code
37922-3352
Phone
(865) 934-4252

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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