| NPI | 1255386249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH GASPAR Md President 931-403-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 29886) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |