| NPI | 1063819720 |
|---|---|
| Doing Business As | MSMG VAS SURG NOR |
| Entity Type | Organization |
| Authorized Contact | CARL STEPHEN KILGORE President/CEO 423-915-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101254593) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-02-14 |