NPI | 1790098416 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P CASAL Owner 931-526-3316 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2010-07-22 |
Last Update Date | 2025-04-30 |