Summit Medical Group, Pllc

NPI #1811731482 in Hermitage, Tennessee

Provider Information

NPI Number: 1811731482
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: Jun 19, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 5653 FRIST BLVD STE 236
City: Hermitage
State: Tennessee
ZIP Code: 37076-2063
Phone: (615) 232-8812

Authorized Official

Name: SANDRA DEE BOWLES
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (865) 584-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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