Organization
MERIDIAN MEDICAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE L TEVIS (VICE PRESIDENT)
(317) 923-2444
Entity
Organization
Contact information
Practice address
3737 NORTH MERIDIAN STREET, SUITE 410, INDIANAPOLIS, IN 46208-4374
(317) 923-2444
(317) 923-8758
Mailing address
3737 NORTH MERIDIAN STREET, SUITE 410, INDIANAPOLIS, IN 46208-4374
(317) 923-2444
(317) 923-8758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/23/2013
Last updated
07/17/2013
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