Organization
FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
Active
Other names
Palmyra Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD W. MILLER (CHIEF FINANCIAL OFFICER)
(812) 949-5500
Entity
Organization
Contact information
Practice address
691 MAIN STREET NE, PALMYRA FAMILY MEDICINE, PALMYRA, IN 47164-8894
(812) 364-4669
(812) 364-4783
Mailing address
3852 RELIABLE PARKWAY, PALMYRA FAMILY MEDICINE, CHICAGO, IL 60686-0038
(812) 949-5482
(812) 949-5966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200104040A
—
IN
Enumeration date
06/02/2006
Last updated
06/26/2012
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