NPI | 1053163899 |
---|---|
Doing Business As | TENNESSEE EYE CARE, A DIVISION OF SUMMIT MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JENNIFER RANEY Provider Enrollment Supervisor 865-269-2111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-04-04 |