Scottsburg Family Healthcare INC

NPI #1124372131 in Scottsburg, Indiana

Provider Information

NPI Number
1124372131
Entity Type
Organization
Organization Name
Scottsburg Family Healthcare INC
Subpart
Yes (part of a larger organization)
Parent Organization
SCOTTSBURG FAMILY HEALTHCARE INC
Primary Specialty
Family Medicine
Enumeration Date
Oct 30, 2012
Last Updated
Apr 5, 2013

Practice Location

Address
1465 N. GARDNER ST.
State
Indiana
ZIP Code
47170-7751
Phone
(812) 752-1151

Authorized Official

Name
SHANE ALLEN AVERY, MD
Title
CHIEF EXECUTIVE OFFICER
Phone
(812) 752-1151

Specialties & Taxonomy Codes

Specialty
Family Medicine

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