Organization
SMG LAB PLLC IDTF
Active
Parent organization
SUMNER MEDICAL GROUP PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMNER MEDICAL GROUP PLLC
Authorized official
DR. ALTON SID KING JR. MD (MEDICAL DIRECTOR)
(615) 230-8070
Entity
Organization
Contact information
Practice address
575 E BLEDSOE ST, SUITE 7, GALLATIN, TN 37066-3054
(615) 452-2511
Mailing address
300 STEAM PLANT RD, SUITE 300, GALLATIN, TN 37066-3032
(615) 230-8070
(615) 452-1774
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000000544
TN
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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