| NPI | 1962421990 |
|---|---|
| Doing Business As | EVERGREEN MEDICAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | STEVEN MITCHELL JOHNSON Medical Doctor 812-282-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50000563) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-04-28 |