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3581 Central Ave Columbus IN 47203-2036 | |
| (812) 376-9601 | |
| (812) 378-8518 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3581 Central Ave, Columbus, Indiana |
| Authorized Official Name and Position | John Alessi (PRESIDENT) |
| Authorized Official Contact | 8129882223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3581 Central Ave Columbus IN 47203-2036 Ph: (812) 376-9601 | 3581 Central Ave Columbus IN 47203-2036 Ph: (812) 376-9601 |
| NPI Number | 1700818127 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700818127 | NPI | - | NPPES |
| CJ9211 | Other | IN | PALMETTO GBA |
| CJ9211 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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