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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› Verified 6 days ago
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