Organization
IMPACT PHYSICIAN GROUP, INDIANA, PULMONARY SERVICES LLC
Active
Organization
IMPACT PHYSICIAN GROUP, INDIANA, PULMONARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MILLER CEO (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
1700 W 10TH ST, INDIANAPOLIS, IN 46222-3802
(317) 636-4400
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/19/2022
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