Organization
SUMMIT MEDICAL GROUP,PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP,PLLC
Other names
Summit Medical Group of Cookeville
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
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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