Organization
FAMILY PHYSICIANS OF ANDERSON, PC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGO JULIANA CARRANCEJIE M.D. (CEO)
(765) 683-3180
Entity
Organization
Contact information
Practice address
141 W 22ND ST, SUITE 115, ANDERSON, IN 46016-4304
(765) 683-3180
Mailing address
141 W 22ND ST, SUITE 115, ANDERSON, IN 46016-4304
(765) 683-3180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214488
ANTHEM BCBS
IN
05
—
200365250A
—
IN
Enumeration date
08/20/2006
Last updated
10/31/2014
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