NPI | 1467987917 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL STEVEN KILGORE President/CEO 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2017-04-21 |
Last Update Date | 2025-05-02 |