GRAND OLE DOCS OF THE SOUTHSIDE, LLC is a family medicine in Greenwood, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRAND OLE DOCS OF THE SOUTHSIDE, LLC NPI is 1477653509. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Indiana Medical Group.
The provider's business location address is:
365 E MAIN ST
GREENWOOD, IN
ZIP 46143-361
Phone: (317) 881-5152
Fax: (317) 881-8993
The provider's authorized official is Charles R Richert .
The authorized official title is Md and has the following contact phone number (317) 881-5152.
The CLIA number assigned to this NPI record is 15D0352866 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/25/2006 and was last updated on 12/5/2013.