Greenwood Primary Care Aesthetics And Wellness LLC
Family Medicine in Greenwood, IN. Organization (NPI-2).
NPI number1699463232
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1699463232
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenwood Primary Care Aesthetics And Wellness LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
918 Fry Rd Ste CGreenwood, IN 46142-1819
Phone 917-257-6551
Mailing address
Po Box 586Galloway, OH 43119-0586
Phone 765-969-7841
Authorized official
Reena Sharma
Ceo
9172576551
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