Fayette Co Physician Organization Dba Family Practice Wvmc | |
1473 E State Road 44 Suite 2 Connersville IN 47331-8292 | |
(765) 825-8686 | |
(765) 827-1918 |
Full Name | Fayette Co Physician Organization Dba Family Practice Wvmc |
---|---|
Speciality | Family Medicine |
Location | 1473 E State Road 44, Connersville, Indiana |
Authorized Official Name and Position | Suresh Patel (MANAGING MEMBER) |
Authorized Official Contact | 7658271903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fayette Co Physician Organization Dba Family Practice Wvmc Po Box 779 Connersville IN 47331-0779 Ph: (765) 825-8686 | Fayette Co Physician Organization Dba Family Practice Wvmc 1473 E State Road 44 Suite 2 Connersville IN 47331-8292 Ph: (765) 825-8686 |
NPI Number | 1972682748 |
---|---|
Provider Enumeration Date | 11/03/2006 |
Last Update Date | 03/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972682748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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