| NPI | 1144458332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-915-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-10-27 |