Organization
SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK HORNER (CEO)
(317) 392-3211
Entity
Organization
Contact information
Practice address
2451 INTELLIPLEX DRIVE, SUITE 200, SHELBYVILLE, IN 46176
(317) 398-0193
(317) 421-2016
Mailing address
2451 INTELLIPLEX DRIVE, SUITE 200, SHELBYVILLE, IN 46176
(317) 398-0193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN
Other
Enumeration date
09/21/2006
Last updated
07/21/2022
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