# SUMMIT MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT MEDICAL GROUP, PLLC
- **Other names:** Grace Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568235026
- **Legal business name:** SUMMIT MEDICAL GROUP, PLLC
- **Authorized official:** SANDRA DEE SPARKS (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (865) 584-4747

## Contact information

- **Practice address:** 950 BAKER HWY UNIT 4, HUNTSVILLE, TN 37756-4169
- **Practice address phone:** (423) 663-4200
- **Practice address fax:** (423) 663-4256
- **Mailing address:** 1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
- **Mailing address phone:** (865) 584-4747
- **Mailing address fax:** (865) 381-1509

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023