| NPI | 1619103579 |
|---|---|
| Other Name | HOMER L. STALEY, MD |
| Entity Type | Organization |
| Authorized Contact | HOMER L STALEY President 931-762-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN md008952) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN md008952) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |