| Summit Medical Group, Pllc | |
|
933 W Race St Kingston TN 37763-2123 | |
| (865) 882-0105 | |
| Not Available |
| Full Name | Summit Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 933 W Race St, Kingston, Tennessee |
| Authorized Official Name and Position | Ed Curtis (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8655844747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group, Pllc 1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 Ph: (865) 584-4747 | Summit Medical Group, Pllc 933 W Race St Kingston TN 37763-2123 Ph: (865) 882-0105 |
| NPI Number | 1639445208 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 02/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639445208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37978 (Tennessee) | Primary |
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