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Organization

SUMMIT MEDICAL GROUP PLLC

Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Brentwood Children's Clinic, a division of Summit Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
SABRINA JILL SPAHR (PROVIDER ENROLLMENT COORDINATOR)
(865) 500-2143
Entity
Organization

Contact information

Practice address
95 SEABOARD LN STE 201, BRENTWOOD, TN 37027-3040
(615) 261-1210
(833) 973-3532
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 500-2143
(865) 381-1509

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/06/2024
Last updated
01/09/2025
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