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 |
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Provider Enumeration Date | 05/15/2014 |
Last Update Date | 12/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912318635 | NPI | - | NPPES |
1912318635 | Medicaid | VA | |
Q006137 | Medicaid | TN |
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