| Summit Medical Group,pllc | |
|
189 Lantana Rd Crossville TN 38555-4902 | |
| (931) 456-0881 | |
| (931) 456-1511 |
| Full Name | Summit Medical Group,pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 189 Lantana Rd, Crossville, Tennessee |
| Authorized Official Name and Position | Jennifer Raney (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Contact | 8652692111 |
| 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 189 Lantana Rd Crossville TN 38555-4902 Ph: (931) 456-0881 |
| NPI Number | 1629836820 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629836820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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