| NPI | 1982610119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA L. OVERFELT Practice Manager 812-372-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: 01032770) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |