Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Other names
Trinity Medical Associates, PC Non-Pharmacy Dispensing Site, TRINITY MEDICAL ASSOC PC
Organization subpart
No
Provider details
NPI number
Authorized official
ZANDRA M MILLS BSOM, CPCS (CREDENTIALING COORDINATOR)
(865) 500-2144
Entity
Organization
Contact information
Practice address
280 FORT SANDERS WEST BLVD STE 101, KNOXVILLE, TN 37922-3352
(865) 934-4252
(865) 539-1816
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 500-2144
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
20447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440119
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/28/2007
Last updated
01/19/2021
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