Organization
EVANSVILLE ADVANCED TREATMENT CENTER
Active
Organization
EVANSVILLE ADVANCED TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIN MCMANAWAY (OFFICE MANAGER)
(812) 303-9539
Entity
Organization
Contact information
Practice address
4972 LINCOLN AVE, SUITE 201, EVANSVILLE, IN 47715-7909
(812) 402-4645
(812) 402-4611
Mailing address
4972 LINCOLN AVE STE 101, EVANSVILLE, IN 47715-7909
(812) 303-9539
(812) 402-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061287A
IN
Other
Enumeration date
01/30/2017
Last updated
12/18/2017
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