Individual
MS. GENNA LEANN CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
Mailing address
PO BOX 7112, INDIANAPOLIS, IN 46207-7112
(317) 528-8148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076824A
IN
Other
Enumeration date
03/25/2013
Last updated
03/30/2021
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