Organization
SUMMIT MEDICAL GROUP PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Horizon Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
SABRINA JILL SPAHR (PROVIDER ENROLLMENT COORDINATOR)
(865) 500-2143
Entity
Organization
Contact information
Practice address
1335 E CENTER ST STE 1, KINGSPORT, TN 37664-2489
(423) 247-2263
(423) 246-1943
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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