Individual
JOHNNIE AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
996 S STATE ROAD 135, GREENWOOD, IN 46143-7365
(317) 893-3888
(317) 893-3818
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01025300A
IN
207Q00000X
Family Medicine Physician
Primary
01025300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216880
—
IN
Enumeration date
05/31/2006
Last updated
06/03/2022
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