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Individual

SALLY JANE WHEELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2051 CLEVIDENCE BLVD STE C, CLARKSVILLE, IN 47129-2278
(812) 280-6623
(812) 280-6627
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26770
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390481
ANTHEM
KY
05
64267701
KY
Enumeration date
09/28/2006
Last updated
11/05/2019
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