Organization
INDIANA HOSPITALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALBOT GREEN MCCORMICK III M.D. (PRESIDENT)
(678) 441-8500
Entity
Organization
Contact information
Practice address
1100 REID PARKWAY, REID HOSPITAL, RICHMOND, IN 47374-1157
(765) 983-3492
(678) 441-8656
Mailing address
5901-C PEACHTREE-DUNWOODY ROAD, SUITE 350, ATLANTA, GA 30328-7159
(678) 441-8508
(678) 441-8656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509560A
—
IN
05
—
2908572
—
OH
01
—
DC9640
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
08/05/2015
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