Whalio Doctors

NPI 1639206212

Summit Medical Group, PLLC

Organisation Non-Pharmacy Dispensing Site Knoxville, TN

Practice location

Address
280 Fort Sanders West Blvd STE 101, Knoxville, TN 37922-3352
Phone
(865) 934-4252
Fax
(865) 539-1816
Mailing address
1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

Authorised official

Name
Zandra M Mills
Title
Credentialing Coordinator
Phone
(865) 500-2144

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 20447 (TN)

Registry record

NPI
1639206212
Entity type
Organization
NPI issued
28 Feb 2007
Record last updated
19 Jan 2021

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.