Individual
SCOTT KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 WAYNE ST, COLUMBIA, TN 38401-4526
(931) 560-3079
Mailing address
211 WAYNE ST, COLUMBIA, TN 38401-4526
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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