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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3736212
—
TN
05
—
3817249
—
TN
Enumeration date
05/24/2006
Last updated
08/22/2020
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