| NPI | 1467105171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL KILGORE VP 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-05-24 |