Organization
SOUTHERN INDIANA PEDIATRICS P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN R GULLEY M.D. (PRESIDENT)
(812) 282-1367
Entity
Organization
Contact information
Practice address
1701 SPRING ST, SUITE A., JEFFERSONVILLE, IN 47130-2930
(812) 282-1367
(812) 284-8377
Mailing address
1701 SPRING ST, SUITE A., JEFFERSONVILLE, IN 47130-2930
(812) 282-1367
(812) 284-8377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50002306A
IN
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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