NPI | 1114803095 |
---|---|
Doing Business As | SMG@KARM |
Entity Type | Organization |
Authorized Contact | TERESA WOLFENBARGER Provider Enrollment Coordinator 865-500-2011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |