Southern Medical Corporation PC
NPI #1093901480 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1093901480
- Entity Type
- Organization
- Organization Name
- Southern Medical Corporation PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Dec 7, 2015
Practice Location
- Address
- 6433 E WASHINGTON ST
- Address 2
- SUITE 125
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46219-6677
- Phone
- (317) 923-1274
Authorized Official
- Name
- DR. CHERYLE DAWN SOUTHERN, M.D.
- Title
- PHYSICIAN
- Phone
- (317) 923-1274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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