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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 Physician19458TN

General Provider Information

NPI Number : 1447339742
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT MEDICAL GROUP, PLLC
Provider Business Mailing Address
First Line : 1225 E WEISGARBER RD
Second Line : SUITE 200
City : KNOXVILLE
State : TN
Zip : 37909-2604
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-584-1363
Provider Business Practice Location Address
First Line : 1018 HIGHWAY 321 N
Second Line :
City : LENOIR CITY
State : TN
Zip : 37771-6683
Country : US
Telephone Number : 865-986-4450
Fax Number : 865-988-6565
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : ED CURTIS
Credential :
Telephone Number : 865-584-4747
Provider Enumeration Date : 11/06/2006
Last Update Date : 11/02/2015

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Directions to “SUMMIT MEDICAL GROUP, PLLC ” Practice Location

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