Organization
CIRCLE CITY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LYNN JOHNSON M.D. (MANAGING PARTNER)
(317) 298-0000
Entity
Organization
Contact information
Practice address
3850 SHORE DR, SUITE 113, INDIANAPOLIS, IN 46254-5621
(317) 298-0000
(317) 398-0011
Mailing address
3850 SHORE DR, SUITE 113, INDIANAPOLIS, IN 46254-5621
(317) 298-0000
(317) 398-0011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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