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Organization

CARRIE B. BOYD HEALTHCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA V CORK D.O., M.A.T. (PHYSICIAN/OWNER)
(317) 501-0210
Entity
Organization

Contact information

Practice address
5555 N TACOMA AVE, 12, INDIANAPOLIS, IN 46220-3512
(317) 501-0210
Mailing address
PO BOX 7140, FISHERS, IN 46038-7140
(317) 501-0210

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
02003708A
IN

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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