Organization
SUMMIT MEDICAL GROUP,PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP,PLLC
Other names
IMA Etowah
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
301 GRADY RD, ETOWAH, TN 37331-1924
(423) 263-1743
(423) 263-7723
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 500-2144
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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