| NPI | 1578741484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD CLAY JACKSON President 812-265-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01019775) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-03-11 |