# FAMILY MEDICINE OF INDIANA

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

## Provider details

- **NPI number:** 1336368810
- **Authorized official:** DR. MILLICENT D. MOYE M.D. (CEO)
- **Authorized official phone:** (317) 334-1900

## Contact information

- **Practice address:** 9640 N AUGUSTA DR, SUITE 413, CARMEL, IN 46032-9600
- **Practice address phone:** (317) 334-1900
- **Practice address fax:** (317) 334-1901
- **Mailing address:** 9640 N AUGUSTA DR, SUITE 413, CARMEL, IN 46032-9600
- **Mailing address phone:** (317) 334-1900
- **Mailing address fax:** (317) 334-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01059510A | IN | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 06/06/2008