NPI 1023871340
Summit Medical Group,pllc
Practice location
- Address
- 5491 Creekwood Park Blvd, Lenoir City, TN 37772-1204
- Phone
- (800) 500-4667
- Fax
- (833) 448-2983
- Mailing address
- 1275 Dick Lonas Rd, Knoxville, TN 37909-1382
Authorised official
- Name
- Jennifer Raney
- Title
- Provider Enrollment Supervisor
- Phone
- (865) 269-2111
Registered specialties
Retina Specialist (Ophthalmology) Physician
Primary
Registry record
- NPI
- 1023871340
- Entity type
- Organization
- NPI issued
- 31 Jan 2024
- Record last updated
- 31 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.