# GREENEVILLE PHYSICIAN SERVICES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laughlin Medical Group, Primary care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033477187
- **Authorized official:** CARL STEVEN KILGORE (VICE PRESIDENT / MANAGER)
- **Authorized official phone:** (423) 915-5116

## Contact information

- **Practice address:** 1406 TUSCULUM BLVD, SUITE 1200, GREENEVILLE, TN 37745-4332
- **Practice address phone:** (423) 783-5520
- **Practice address fax:** (423) 783-5521
- **Mailing address:** 1406 TUSCULUM BLVD, SUITE 1200, GREENEVILLE, TN 37745-4332
- **Mailing address phone:** (423) 783-5520
- **Mailing address fax:** (423) 783-5521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 04/26/2012