Organization
SUMMIT MEDICAL GROUP PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Family Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
ZANDRA M MILLS BSOM, CPCS (CREDENTIALING MANAGER)
(865) 500-2144
Entity
Organization
Contact information
Practice address
2700 WESTSIDE DR NW STE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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