Organization
FAMILY PHYSICIANS SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH ANN MORGAN (OFFICE MANAGER)
31777872644
Entity
Organization
Contact information
Practice address
6801 GRAY RD STE A, INDIANAPOLIS, IN 46237-3238
(317) 787-9471
(317) 788-4746
Mailing address
6801 GRAY RD STE A, INDIANAPOLIS, IN 46237-3238
(317) 787-9471
(317) 788-4746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003960000A
—
IN
Enumeration date
03/26/2007
Last updated
12/04/2007
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