| Wound Care Specialists Of Indiana Pc | |
|
1200 W Carmel Dr Ste 103 Carmel IN 46032-8707 | |
| (800) 927-6316 | |
| (888) 505-6818 |
| Full Name | Wound Care Specialists Of Indiana Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1200 W Carmel Dr Ste 103, Carmel, Indiana |
| Authorized Official Name and Position | Jodie R Harper (PRESIDENT) |
| Authorized Official Contact | 3177963897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Specialists Of Indiana Pc 1200 W Carmel Dr Ste 103 Carmel IN 46032-8707 Ph: (800) 927-6316 | Wound Care Specialists Of Indiana Pc 1200 W Carmel Dr Ste 103 Carmel IN 46032-8707 Ph: (800) 927-6316 |
| NPI Number | 1275667677 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275667677 | NPI | - | NPPES |
| 200361260 | Medicaid | IN | |
| 000000368687 | Other | IN | ANTHEM GROUP NUMBER |
| 1003817297 | Other | IN | NPI |
| 1275667677 | Other | NPI - GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 50004699A (Indiana) | Primary |
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