| NPI | 1619263068 |
|---|---|
| Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
| Doing Business As | MSMG DIABETES WOUND CARE |
| Other Name | BHMA WOUND CARE JMH |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101052144) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024166234) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-03-29 |