| NPI | 1932617271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 2080S0010X Pediatrics Sports Medicine | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2025-05-02 |