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Organization
SUMMIT MEDICAL GROUP PLLC
Active
Organization
SUMMIT MEDICAL GROUP PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Summit Medical Group at Pistol Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
JENNIFER RANEY (PROVIDER ENROLLMENT SUPERVISOR)
(865) 584-4747
Entity
Organization
Contact information
Practice address
418 MARILYN LN, ALCOA, TN 37701-2118
(865) 984-6203
(844) 689-0752
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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