# SUMMIT MEDICAL GROUP,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUMMIT PHYSICAL THERAPY SERVICE WEST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477605277
- **Authorized official:** MR. TIM YOUNG (CHIEF EXECUTIVE OFFICE)
- **Authorized official phone:** (865) 584-4747

## Contact information

- **Practice address:** 9333 PARK WEST BLVD, SUITE 102, KNOXVILLE, TN 37923-4341
- **Practice address phone:** (865) 588-8278
- **Practice address fax:** (865) 588-8341
- **Mailing address:** 9333 PARK WEST BLVD, SUITE 102, KNOXVILLE, TN 37923-4341
- **Mailing address phone:** (865) 588-8278
- **Mailing address fax:** (865) 588-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | TN | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020
