GRAND OLE DOCS OF THE SOUTHSIDE, LLC

GREENWOOD, IN
NPI1477653509
Doing Business AsCENTRAL INDIANA MEDICAL GROUP
Entity TypeOrganization
Authorized ContactCHARLES R RICHERT
Md
317-881-5152
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-09-25
Last Update Date2013-12-05
Business Address
GRAND OLE DOCS OF THE SOUTHSIDE, LLC
365 E MAIN ST
GREENWOOD, IN 46143-1361
Phone number: 317-881-5152
Mailing Address
GRAND OLE DOCS OF THE SOUTHSIDE, LLC
1350 E COUNTY LINE RD SUITE H
INDIANAPOLIS, IN 46227-0873
Phone number: 317-887-7725