Individual
MILLICENT D. MOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 ESKENAZI AVE, F1-200, INDIANAPOLIS, IN 46202-5173
(317) 880-6559
(317) 880-0411
Mailing address
PO BOX 637999, CINCINNATI, OH 45263-7999
(317) 682-2030
(317) 644-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059510A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521092
ANTHEM
IN
05
—
100143130A
—
IN
Enumeration date
12/27/2005
Last updated
09/25/2025
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