| NPI | 1093016024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL S KILGORE President/CEO 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma |
| 208600000X Surgery | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2019-03-28 |