| NPI | 1437462025 |
|---|---|
| Doing Business As | MSMG GEN SURG LEB |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-915-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-10-29 |