# SUMMIT MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT MEDICAL GROUP, PLLC
- **Other names:** Summit Medical Group at Sevierville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689386526
- **Legal business name:** SUMMIT MEDICAL GROUP, PLLC
- **Authorized official:** ZANDRA M MILLS BSOM, CPCS (CREDENTIALING DEPARTMENT MANAGER)
- **Authorized official phone:** (865) 500-2144

## Contact information

- **Practice address:** 1124 FOX MEADOWS BLVD STE 3, SEVIERVILLE, TN 37862-6927
- **Practice address phone:** (865) 428-0312
- **Practice address fax:** (833) 908-2176
- **Mailing address:** 1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
- **Mailing address phone:** (865) 584-4747
- **Mailing address fax:** (865) 584-1363

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2022
- **Last updated:** 12/22/2022