# SOUTHSIDE OB-GYN PC

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

## Provider details

- **NPI number:** 1518186881
- **Authorized official:** MS. JOCELYN FOREHAND MJ,CMPE, CPC (CEO)
- **Authorized official phone:** (317) 865-3600

## Contact information

- **Practice address:** 8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
- **Practice address phone:** (317) 865-3600
- **Practice address fax:** (317) 885-3850
- **Mailing address:** 8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
- **Mailing address phone:** (317) 865-3600
- **Mailing address fax:** (317) 885-3850

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 12/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100047770 | — | IN |