| NPI | 1235450867 |
|---|---|
| Doing Business As | JEFFERSONVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEVEN F SHIELDS Billing Manager 804-282-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02001067A) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-10-07 |