Organization
GREENWOOD PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL G JOHNSON MD (VP)
(317) 887-6060
Entity
Organization
Contact information
Practice address
1030 E COUNTY LINE RD, SUITE B2, INDIANAPOLIS, IN 46227-2932
(317) 887-6060
(317) 859-5946
Mailing address
1030 E COUNTY LINE RD, SUITE B2, INDIANAPOLIS, IN 46227-2932
(317) 887-6060
(317) 859-5946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193950A
—
IN
Enumeration date
09/22/2006
Last updated
02/02/2009
Update your record
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