| NPI | 1568705457 |
|---|---|
| Doing Business As | MSMG FP IM ERW |
| Entity Type | Organization |
| Authorized Contact | CARL S KILGORE President 423-915-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2017-02-14 |