NPI | 1962883678 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Doing Business As | MSMG PEDICATRIC ENDOCRINOLOGY |
Other Name | BHMA PEDIATRIC ENDOCRINOLOGY JOHNSON CITY |
Entity Type | Organization |
Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2015-06-18 |
Last Update Date | 2019-03-29 |