Premier Pediatrics of Indiana LLC
NPI #1760084156 in Granger, Indiana
Provider Information
- NPI Number
- 1760084156
- Entity Type
- Organization
- Organization Name
- Premier Pediatrics of Indiana LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Jul 20, 2021
Practice Location
Authorized Official
- Name
- CHARISSE JOHNSON, MD
- Title
- SOLE PROPRIETOR
- Phone
- (317) 345-3142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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