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Organization

ADVANCED INTERNAL MEDICINE OF SOUTHERN INDIANA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT NEIL ELLIOTT M.D. (PHYSICIAN/OWNER)
(812) 248-9350
Entity
Organization

Contact information

Practice address
110 S NEW ALBANY AVE, SELLERSBURG, IN 47172-1540
(812) 248-9350
(812) 248-9351
Mailing address
110 S NEW ALBANY AVE, SELLERSBURG, IN 47172-1540
(812) 248-9350
(812) 248-9351

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056931A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218920
MEDICARE GROUP NUMBER
IN
Enumeration date
11/28/2007
Last updated
11/28/2007
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