| NPI | 1790098416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P CASAL Owner 931-526-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2024-10-23 |