| NPI | 1700837358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIMJON C FERGUSON President 812-491-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50004404A) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |