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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