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Organization

PHYSICIANS PRACTICE ORGANIZATION D/B/A NORTHSIDE FAMILY MEDICINE

Active
Parent organization
PHYSICIANS PRACTICE ORGANIZATION
Other names
Northside Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSICIANS PRACTICE ORGANIZATION
Authorized official
DR. TERESA L LOVINS MD (MEDICAL DIRECTOR)
(812) 372-4956
Entity
Organization

Contact information

Practice address
3201 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 372-4956
(812) 372-4958
Mailing address
3201 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 372-4956
(812) 372-4958

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/25/2006
Last updated
10/18/2007
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