| NPI | 1811269640 |
|---|---|
| Doing Business As | MSMG URO RURL |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-915-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166068) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2017-02-14 |