Organization
INGRAM HEALTH GROUP CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES INGRAM (CEO)
(317) 480-2047
Entity
Organization
Contact information
Practice address
5868 E 71ST ST, SUITE E-230, INDIANAPOLIS, IN 46220-4075
(317) 480-2047
Mailing address
5868 E 71ST ST, SUITE E-230, INDIANAPOLIS, IN 46220-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043975A
IN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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