Summit Medical Group Pllc

NPI #1679340707 in Cookeville, Tennessee

Provider Information

NPI Number: 1679340707
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: Dec 8, 2023
Last Updated: Dec 8, 2023

Practice Location

Address: 1101 NEAL ST
City: Cookeville
State: Tennessee
ZIP Code: 38501-0901
Phone: (931) 528-7797

Authorized Official

Name: SABRINA JILL SPAHR
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (865) 500-2143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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