Organization
SOUTHERN DIVINE FAMILY MEDICAL CENTER LLC
Active
Other names
United Doctors Family Medical Center - Altoona
Organization subpart
No
Provider details
NPI number
Authorized official
ENRICO D GASPAR MD (OWNER)
(256) 840-8181
Entity
Organization
Contact information
Practice address
7130 6TH AVE, ALTOONA, AL 35952-9052
(205) 589-1092
(205) 589-1096
Mailing address
PO BOX 35, ALTOONA, AL 35952-0035
(205) 589-1092
(205) 589-1096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/21/2020
Last updated
04/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up