| NPI | 1245781954 |
|---|---|
| Doing Business As | MSMG RURAL HEALTH CLIINIC LEBANON |
| Doing Business As | MSMG LEBANON FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CARL KILGORE President 423-915-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2018-06-16 |