Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Knoxville Pediatric Associates- Clinch
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
2201 CLINCH AVE, KNOXVILLE, TN 37916-2203
(865) 525-0228
(865) 525-0285
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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