NPI | 1114340445 |
---|---|
Doing Business As | MSMG VASCULAR SURGERY JC |
Entity Type | Organization |
Authorized Contact | CARL STEVEN KILGORE President/CEO 423-915-5185 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 48573) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2017-02-27 |