| NPI | 1942030648 |
|---|---|
| Doing Business As | BRENTWOOD CHILDREN'S CLINIC, A DIVISION OF SUMMIT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SABRINA JILL SPAHR Provider Enrollment Coordinator 865-500-2143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-01-09 |