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Organization
TWIN LAKES FAMILY PRACTICE PC
Active
Organization
TWIN LAKES FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JOSEPH GASPAR MD (MD PRESIDENT)
(931) 403-1710
Entity
Organization
Contact information
Practice address
529 MEDICAL DR, SUITE A, LIVINGSTON, TN 38570-1826
(931) 403-1710
(931) 403-1711
Mailing address
PO BOX 211, LIVINGSTON, TN 38570-0211
(931) 403-1710
(931) 403-1711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29886
TN
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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