Organization
SUMMIT PRIMARY CARE
Active
Other names
SUMMIT PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DUGAN MBA (ADMINISTRATOR)
(615) 391-1515
Entity
Organization
Contact information
Practice address
3939 CENTRAL PIKE, HERMITAGE, TN 37076-3499
(615) 883-2331
(615) 391-1785
Mailing address
3939 CENTRAL PIKE, HERMITAGE, TN 37076-3499
(615) 391-1515
(615) 391-1785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27034
CAQH
—
01
—
3719493
GROUP MEDICARE
—
01
—
44D0903784
CLIA #
—
Enumeration date
11/01/2006
Last updated
08/29/2012
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