| 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 |