| 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 |