| 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 |