NPI | 1700126976 |
---|---|
Doing Business As | SOUTH HARRISON FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DONALD DUVAL CFO 812-738-4251 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2013-02-25 |
Last Update Date | 2023-11-30 |