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Organization
FMMG LLC
Active
Organization
FMMG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J EICHENBERGER MD (PRESIDENT / CEO)
(812) 542-4921
Entity
Organization
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 542-4906
(812) 949-5966
Mailing address
800 HIGHLANDER POINT DR STE 204, FLOYDS KNOBS, IN 47119-9465
(812) 542-4906
(812) 948-6715
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/21/2011
Last updated
07/08/2019
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