| NPI | 1104171826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246669) |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-03-28 |