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Organization
FAMILY MEDICINE OF TERRE HAUTE, LLC
Active
Organization
FAMILY MEDICINE OF TERRE HAUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT SULLIVAN (OFFICE MANAGER)
(812) 237-9890
Entity
Organization
Contact information
Practice address
3903 S 7TH ST, SUITE 2F, TERRE HAUTE, IN 47802-5710
(812) 237-9890
Mailing address
3903 S 7TH ST, SUITE 2F, TERRE HAUTE, IN 47802-5710
(812) 237-9890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
01/07/2009
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