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Organization

FAYETTE FAMILY PRACTICE, INC.

Active
Parent organization
FAYETTE FAMILY PRACTICE, INC.
Other names
William A. Nesbitt, MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAYETTE FAMILY PRACTICE, INC.
Authorized official
DR. WILLIAM A NESBITT M.D. (OWNER)
(765) 827-1800
Entity
Organization

Contact information

Practice address
1550 E STATE ROAD 44, CONNERSVILLE, IN 47331-8293
(765) 827-1800
(765) 827-1816
Mailing address
1550 E STATE ROAD 44, CONNERSVILLE, IN 47331-8293
(765) 827-1800
(765) 827-1816

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027130
IN
207Q00000X
Family Medicine Physician
01027130A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200993720A
IN
Enumeration date
12/31/2009
Last updated
11/28/2012
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