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Organization

SUMMIT MEDICAL GROUP, PLLC

Active
Parent organization
SUMMIT MEDICAL GROUP, PLLC
Other names
Knoxville Pediatric Associates- Cross Park
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT MEDICAL GROUP, PLLC
Authorized official
SANDRA DEE BOWLES (PROVIDER ENROLLMENT COORDINATOR)
(865) 584-4747
Entity
Organization

Contact information

Practice address
9017 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-8605
(865) 690-1161
(865) 531-8710
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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