Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP, PLLC
Other names
Grace Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP, PLLC
Authorized official
SANDRA DEE SPARKS (PROVIDER ENROLLMENT COORDINATOR)
(865) 584-4747
Entity
Organization
Contact information
Practice address
950 BAKER HWY UNIT 4, HUNTSVILLE, TN 37756-4169
(423) 663-4200
(423) 663-4256
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
11/06/2023
Last updated
11/06/2023
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