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Organization
GRAND OLD DOCS OF THE SOUTHSIDE
Active
Organization
GRAND OLD DOCS OF THE SOUTHSIDE
Active
Other names
Central Indiana Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E DUGGAN MD (PHYSICIAN)
(317) 882-7344
Entity
Organization
Contact information
Practice address
134 N EMERSON AVE, GREENWOOD, IN 46143-9760
(317) 882-7344
(317) 882-4793
Mailing address
1350 E COUNTY LINE RD, SUITE I, INDIANAPOLIS, IN 46227-0873
(317) 882-7344
(317) 882-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
09/10/2008
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