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Organization
FAMILY MEDICINE CONSULTANTS CORP.
Active
Organization
FAMILY MEDICINE CONSULTANTS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA DENISE GIVENS NURSE PRACTITIONER (NURSE PRACTITIONER)
(219) 882-7730
Entity
Organization
Contact information
Practice address
650 GRANT ST STE 5, GARY, IN 46404-1551
(219) 882-7730
(219) 882-1605
Mailing address
650 GRANT ST STE 5, GARY, IN 46404-1551
(219) 882-7730
(219) 882-1605
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
71002672A
IN
314000000X
Skilled Nursing Facility
Primary
71002672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171090B
—
IN
Enumeration date
10/24/2008
Last updated
10/24/2008
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