| NPI | 1528459278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HALLAL HENDERSON Physician 812-948-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01052944A) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |