NPI | 1861857567 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Doing Business As | KIDS FIRST PEDIATRICS OF NE TN |
Entity Type | Organization |
Authorized Contact | GREGORY LEE WILGOCKI VP Reimbursement 423-431-5794 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2015-12-22 |
Last Update Date | 2019-02-20 |