| NPI | 1174549315 |
|---|---|
| Doing Business As | HAWTHORNE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-09-21 |