Individual
ROBERT SUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 WOLF TRAIL CV, GERMANTOWN, TN 38138-1753
(901) 682-9222
Mailing address
8110 N BROTHER BLVD, STE 200, BARTLETT, TN 38133-2760
(901) 255-5221
(901) 373-4511
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
15838
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116255
—
MS
01
—
2616901
CIGNA
—
05
—
3891067
—
TN
01
—
4077772
BCBS TN
TN
01
—
4106878
AETNA HMO
—
01
—
85291
BCBS AR
AR
01
—
P00325421
RAILROAD MEDICARE
TN
Enumeration date
07/13/2006
Last updated
04/01/2020
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