| NPI | 1619349578 |
|---|---|
| Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
| Doing Business As | MSMG PEDIATRIC GASTROENTEROLOGY |
| Other Name | BHMA PEDIATRIC GASTROENTEROLOGY JOHNSON CITY |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2019-03-29 |