Organization
WAYNE FAMILY HEALTH CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA J DAVIS (OFFICE MANAGER)
(765) 966-5217
Entity
Organization
Contact information
Practice address
1050 REID PARKWAY, SUITE 210, RICHMOND, IN 47374
(765) 966-5217
(765) 966-5277
Mailing address
1050 REID PARKWAY, SUITE 210, RICHMOND, IN 47374
(765) 966-5217
(765) 966-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112000A
—
IN
05
—
2049929
—
OH
01
—
DEC36280
CSHCS
IN
Enumeration date
09/13/2005
Last updated
06/10/2008
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