| NPI | 1619349578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2025-05-02 |