Organization
SUMMIT MEDICAL GROUP,PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP,PLLC
Other names
Tennessee Eye Care, a division of Summit Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP,PLLC
Authorized official
JENNIFER RANEY (PROVIDER ENROLLMENT SUPERVISOR)
(865) 269-2111
Entity
Organization
Contact information
Practice address
5491 CREEKWOOD PARK BLVD, LENOIR CITY, TN 37772-1204
(800) 500-4667
(833) 448-2983
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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