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Organization
MAJOR AFFILIATES INC. DBA SHELBYVILLE PEDIATRICS
Active
Organization
MAJOR AFFILIATES INC. DBA SHELBYVILLE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY GLIDDEN (PRACTICE MANAGER)
(317) 398-7337
Entity
Organization
Contact information
Practice address
30 W RAMPART ST, SUITE 170, SHELBYVILLE, IN 46176-8846
(317) 398-7337
(317) 421-0372
Mailing address
30 W RAMPART ST, SUITE 170, SHELBYVILLE, IN 46176-8846
(317) 398-7337
(317) 421-0372
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200250240
—
IN
Enumeration date
10/03/2006
Last updated
05/14/2008
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