NPI | 1134500218 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Doing Business As | MSMG PEDIATRIC NEUROLOGY |
Other Name | BHMA PEDIATRIC NEUROLOGY JC |
Entity Type | Organization |
Authorized Contact | CARL STEVE KILGORE President 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2015-06-15 |
Last Update Date | 2019-03-28 |