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Organization
SUMMITT GROUP, INC
Active
Organization
SUMMITT GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB D SUMMITT ATS, CRTS (PRESIDENT, CEO)
(423) 893-9121
Entity
Organization
Contact information
Practice address
606 GEORGIA AVE FL 2, CHATTANOOGA, TN 37402-1418
(423) 893-9121
(423) 893-9133
Mailing address
606 GEORGIA AVE FL 2, CHATTANOOGA, TN 37402-1418
(423) 893-9121
(423) 893-9133
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0000000747
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B46
PIN STATE TN WAIVER
TN
05
—
1454244
—
TN
01
—
52823185
PIN BCBS GA STATE EMP
GA
01
—
890-13447
PIN BCBS OF AL
TN
01
—
TN0100
PIN JOHN DEERE NAT'L/TNCR
TN
Enumeration date
10/03/2006
Last updated
04/17/2008
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