Organization
SOUTHERN INDIANA GENERAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY LYNN BURNETTE (OFFICE MANAGER)
(812) 279-9771
Entity
Organization
Contact information
Practice address
3231 MITCHELL RD, BEDFORD, IN 47421
(812) 279-9771
(812) 275-8554
Mailing address
PO BOX 725, 3231 MITCHELL RD, BEDFORD, IN 47421
(812) 279-9771
(812) 275-8554
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01046182
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200907400A
—
IN
Enumeration date
04/06/2007
Last updated
01/12/2009
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