Organization
SUMMIT MEDICAL GROUP PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Chattanooga Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
TERESA WOLFENBARGER (PROVIDER ENROLLMENT COORDINATOR)
(865) 500-2011
Entity
Organization
Contact information
Practice address
961 SPRING CREEK RD, CHATTANOOGA, TN 37412-3959
(423) 892-2221
(423) 490-3407
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
02/20/2024
Last updated
02/20/2024
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