NPI | 1568958775 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Doing Business As | MSMG PEDIATRIC UROLOGY JOHNSON CITY |
Other Name | BHMA PEDIATRIC UROLOGY JOHNSON CITY |
Entity Type | Organization |
Authorized Contact | CARL KILGORE President 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
Enumeration Date | 2018-07-11 |
Last Update Date | 2019-03-29 |