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307 S Indiana Ave English IN 47118 | |
(812) 338-2924 | |
(812) 338-3706 |
Full Name | |
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Speciality | Family Medicine |
Location | 307 S Indiana Ave, English, Indiana |
Authorized Official Name and Position | Nancy Radcliff (ADMINISTRATOR) |
Authorized Official Contact | 8127237119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 W Longest St Po Box 270 Paoli IN 47454-8821 Ph: (812) 723-3944 | 307 S Indiana Ave English IN 47118 Ph: (812) 338-2924 |
NPI Number | 1457474009 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 08/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457474009 | NPI | - | NPPES |
200164670A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |