SUMMIT MEDICAL GROUP, PLLC
280 Fort Sanders West Blvd Ste 101
Knoxville, TN 37922
865-934-4252
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332900000X | Suppliers - Non-Pharmacy Dispensing Site - | TN | 20447 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4440119 | OTHER |