Organization
24 ON PHYSICIAN PARTNERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN A. FULLER (SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 945-4580
(219) 945-4581
Mailing address
PO BOX 23996, BELFAST, ME 04915-4490
(770) 274-0468
(404) 806-4334
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/28/2025
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