Summit Medical Group PLLC
Pediatrics in Sevierville, TN. Organization (NPI-2).
NPI number1235937764
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1235937764
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Medical Group PLLC
- Organization subpart
- Yes
- Enumeration date
- Mar 3, 2025
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Hometown Pediatric Sevierville (Doing Business As)
Practice location
629 Middle Creek RdSevierville, TN 37862-5014
Phone 865-453-9980
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747
Authorized official
Sandra Dee Bowles
Provider Enrollment Coordinator
8655844747
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Other Pediatrics Physician providers in Sevierville, TN
- Caroline M Burton, M.D.NPI 1710129895
- East Tennessee Children'S Primary Care Center, INC.NPI 1043415227
- Lauren Michelle Edmond, DONPI 1619610631
- David Wayne Sanford, M.D.NPI 1386678936
All 5 Pediatrics Physician providers in Sevierville · All 832 providers in Sevierville
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