| 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 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-03-29 |