Summit Medical Group Pllc | |
2700 Westside Dr Nw Ste 103 Cleveland TN 37312-3699 | |
(423) 472-1511 | |
Not Available |
Full Name | Summit Medical Group Pllc |
---|---|
Speciality | Family Medicine |
Location | 2700 Westside Dr Nw Ste 103, Cleveland, Tennessee |
Authorized Official Name and Position | Zandra M Mills (CREDENTIALING MANAGER) |
Authorized Official Contact | 8655002144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Medical Group Pllc 1275 Dick Lonas Rd Unit 101 Knoxville TN 37909-1383 Ph: (865) 584-4747 | Summit Medical Group Pllc 2700 Westside Dr Nw Ste 103 Cleveland TN 37312-3699 Ph: (423) 472-1511 |
NPI Number | 1568114130 |
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Provider Enumeration Date | 01/24/2022 |
Last Update Date | 01/24/2022 |
Identifier | Type | State | Issuer |
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1568114130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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