| NPI | 1386412468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-04-09 |