NPI | 1992105431 |
---|---|
Doing Business As | BALLAD HEALTH MEDICAL ASSOCIATES |
Doing Business As | MSMG PEDS KPT |
Other Name | BHMA PEDIATRICS KINGSPORT |
Entity Type | Organization |
Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2014-09-03 |
Last Update Date | 2022-05-24 |