# SUMMIT MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Medical Group at Wartburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124646559
- **Authorized official:** ALLISON HALL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (865) 584-4747

## Contact information

- **Practice address:** 1825 KNOXVILLE HWY, WARTBURG, TN 37887
- **Practice address phone:** (423) 346-3600
- **Mailing address:** 1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
- **Mailing address phone:** (865) 584-4747

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020