Individual
MR. JEFFREY SCOTT SUMMERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6612 MAYNARDVILLE HWY, KNOXVILLE, TN 37918-4817
(865) 688-1584
(865) 688-1581
Mailing address
6612 MAYNARDVILLE HWY, KNOXVILLE, TN 37918-4817
(865) 688-1584
(865) 688-1581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26566
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0441416
UNITED HEALTHCARE
TN
01
—
0689048
CIGNA
TN
05
—
3094778
—
TN
01
—
3125163
BCBST
TN
01
—
5130096
RAILROAD MEDICARE
TN
01
—
TN0101
JOHN DEER
TN
Enumeration date
07/19/2005
Last updated
07/08/2007
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