NPI | 1518068527 |
---|---|
Doing Business As | NORTHSIDE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | TERESA L LOVINS Medical Director 812-372-4956 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-10-18 |