NPI | 1124646559 |
---|---|
Doing Business As | SUMMIT MEDICAL GROUP AT WARTBURG |
Entity Type | Organization |
Authorized Contact | ALLISON HALL Credentialing Coordinator 865-584-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |