Organization
SUMMIT MEDICAL GROUP,PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP,PLLC
Other names
Pediatric Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP,PLLC
Authorized official
ED CURTIS CMPE (CEO)
(865) 584-4747
Entity
Organization
Contact information
Practice address
125 HUXLEY RD, KNOXVILLE, TN 37922-3197
(865) 518-0084
(865) 558-5669
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
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053040
—
TN
Enumeration date
06/11/2019
Last updated
07/09/2020
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