NPI | 1588693691 |
---|---|
Doing Business As | DBA MSMG FP ELIZ |
Entity Type | Organization |
Authorized Contact | C STEVEN KILGORE Senior Vice President 423-915-5185 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-01 |
Last Update Date | 2011-03-10 |