| NPI | 1316357593 |
|---|---|
| Doing Business As | MSMG EXTENDED CARE JC |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-915-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2015-07-08 |