# SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194824748
- **Authorized official:** MR. JACK HORNER (CEO)
- **Authorized official phone:** (317) 392-3211

## Contact information

- **Practice address:** 2451 INTELLIPLEX DRIVE, SUITE 200, SHELBYVILLE, IN 46176
- **Practice address phone:** (317) 398-0193
- **Practice address fax:** (317) 421-2016
- **Mailing address:** 2451 INTELLIPLEX DRIVE, SUITE 200, SHELBYVILLE, IN 46176
- **Mailing address phone:** (317) 398-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | IN | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022