Jackson Park Physicians, Pc | |
1124 Medical Place Seymour IN 47274 | |
(812) 522-1613 | |
(812) 522-6694 |
Full Name | Jackson Park Physicians, Pc |
---|---|
Speciality | Family Medicine |
Location | 1124 Medical Place, Seymour, Indiana |
Authorized Official Name and Position | Kelley M Gillaspy (PRACTICE MANAGER) |
Authorized Official Contact | 8125221613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jackson Park Physicians, Pc 1124 Medical Place Seymour IN 47274 Ph: (812) 522-1613 | Jackson Park Physicians, Pc 1124 Medical Place Seymour IN 47274 Ph: (812) 522-1613 |
NPI Number | 1346388576 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 06/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346388576 | NPI | - | NPPES |
100141330 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 50000714A (Indiana) | Primary |
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