| NPI | 1508742495 |
|---|---|
| Doing Business As | SUMMIT MEDICAL GROUP AT PISTOL CREEK |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RANEY Provider Enrollment Supervisor 865-584-4747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |