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504 Colonial Ct Plymouth IN 46563-1860 | |
(812) 645-1892 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 504 Colonial Ct, Plymouth, Indiana |
Authorized Official Name and Position | Jan Hopkins (ASSOC. OPS MGR) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | 504 Colonial Ct Plymouth IN 46563-1860 Ph: (812) 645-1892 |
NPI Number | 1083250351 |
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Provider Enumeration Date | 11/21/2019 |
Last Update Date | 03/25/2022 |
Identifier | Type | State | Issuer |
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1083250351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Byron M. Holm, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Holm Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2855 Miller Dr Ste 205, Plymouth, IN 46563 Phone: 574-286-0200 | |