Organization
SUMMIT MEDICAL GROUP,PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP,PLLC
Other names
Bhavana Vora MD at Crossville, a division of Summit Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP,PLLC
Authorized official
JENNIFER RANEY (PROVIDER ENROLLMENT SUPERVISOR)
(865) 269-2111
Entity
Organization
Contact information
Practice address
189 LANTANA RD STE 102, CROSSVILLE, TN 38555-4902
(931) 456-0881
(833) 450-5759
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
03/12/2024
Last updated
01/20/2025
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