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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND OLD DOCS OF THE SOUTHSIDE

Active Organization

GRAND OLD DOCS OF THE SOUTHSIDE is a Family Medicine organization located in GREENWOOD, Indiana. NPI 1790886844 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GREENWOOD, IN

Registration Details

NPI Number
1790886844
Provider Type
Organization
NPI Issued
Sep 25, 2006 (19.869363037941 yrs)
Last Updated
Jun 30, 2008

Practice Information

Address
360 S MADISON AVE
#200
GREENWOOD, IN, 461423150
Browse IN providers · Browse ZIP 46142
Phone
3178659090
Fax
3178650523
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.