| NPI | 1194915793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOWARD RUPARD Owner 931-685-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000024783) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2025-09-26 |