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Organization
PHYSICIANS PRACTICE ORGANIZATION D/B/A NORTHSIDE FAMILY MEDICINE
Active
Organization
PHYSICIANS PRACTICE ORGANIZATION D/B/A NORTHSIDE FAMILY MEDICINE
Active
Parent organization
PHYSICIANS PRACTICE ORGANIZATION
Other names
Northside Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS PRACTICE ORGANIZATION
Authorized official
DR. TERESA L LOVINS MD (MEDICAL DIRECTOR)
(812) 372-4956
Entity
Organization
Contact information
Practice address
3201 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 372-4956
(812) 372-4958
Mailing address
3201 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 372-4956
(812) 372-4958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
10/18/2007
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