# SUMMIT PHYSICIAN GROUP LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104343581
- **Authorized official:** MS. OLEKSANDRA KRUHLIAKIVSKA (BUSINESS MANAGER)
- **Authorized official phone:** (205) 343-6979

## Contact information

- **Practice address:** 657 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
- **Practice address phone:** (205) 343-6979
- **Practice address fax:** (205) 490-2374
- **Mailing address:** 1655 MCFARLAND BLVD N, PO BOX 189, TUSCALOOSA, AL 35406-2212
- **Mailing address phone:** (205) 343-6979
- **Mailing address fax:** (205) 490-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 05/09/2025