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NPI Code Detail

MEDICARE: SUMMIT MEDICAL GROUP, PLLC

MEDICARE: SUMMIT MEDICAL GROUP, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1003319237
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT MEDICAL GROUP, PLLC
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD UNIT 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1383
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-584-1363
Provider Business Practice Location Address
First Line : 2497 S ROANE ST STE 110
Second Line :
City : HARRIMAN
State : TN
Zip : 37748-8666
Country : US
Telephone Number : 865-647-3575
Fax Number :
Authorized Official
Title or Position : CEO
Name : ED CURTIS
Credential :
Telephone Number : 865-584-4747
Provider Enumeration Date : 03/14/2018
Last Update Date : 12/27/2022

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Directions to “SUMMIT MEDICAL GROUP, PLLC ” Practice Location

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