Organization · Type 2 NPI

Grand Ole Docs of the Southside, LLC

Family Medicine Physician · Indianapolis, IN

NPI number 1639359037 Active

Practice location

6349 S East St
Indianapolis, IN 46227-7107

Call (317) 807-0247 Map

Fax (317) 735-1951

Mailing address

1350 E County Line Rd, Suite H
Indianapolis, IN 46227-0873

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01036126A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1639359037

Grand Ole Docs of the Southside, LLC's National Provider Identifier is 1639359037, issued on Nov 14, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 5, 2013.