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Organization
GRANITE CITY PHYSICIANS CORP
Active
Organization
GRANITE CITY PHYSICIANS CORP
Active
Other names
HEARTLAND HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
2044 MADISON AVE, SUITE 15, GRANITE CITY, IL 62040-4641
(618) 798-8652
(618) 798-8116
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
(618) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
07/07/2023
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