Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Other names
Hometown Pediatric Morristown
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BOWLES (PROVIDER ENROLLMENT COORDINATOR)
(655) 844-7478
Entity
Organization
Contact information
Practice address
1817 W MORRIS BLVD, MORRISTOWN, TN 37813-2837
(423) 581-3904
(423) 581-6120
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
01/30/2018
Last updated
03/28/2025
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