| Msmg Hima Ucmh | |
|
100 Greenway Cir Erwin TN 37650-2177 | |
| (423) 431-1810 | |
| (423) 431-1811 |
| Full Name | Msmg Hima Ucmh |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Greenway Cir, Erwin, Tennessee |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4239155100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msmg Hima Ucmh 100 Greenway Cir Erwin TN 37650-2177 Ph: (423) 431-1810 | Msmg Hima Ucmh 100 Greenway Cir Erwin TN 37650-2177 Ph: (423) 431-1810 |
| NPI Number | 1912318635 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912318635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208M00000X | Hospitalist | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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