Organization
FIRSTLINES, TJS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOITHY JAMES STORY MD (PHYSICIAN)
(317) 814-4111
Entity
Organization
Contact information
Practice address
11725 ILLINOIS ST STE 550, CARMEL, IN 46032-3009
(317) 814-4111
(317) 814-2923
Mailing address
11725 ILLINOIS ST STE 550, CARMEL, IN 46032-3009
(317) 814-4111
(317) 814-2923
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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