NPI 1033205984

Grand Ole Docs of the Southside, LLC

Organisation Family Medicine Physician Indianapolis, IN

Practice location

Address: 8686 Madison Ave Suite F, Indianapolis, IN 46227-7207
Phone: (317) 884-3725
Fax: (317) 881-0933
Mailing address: 1350 E County Line Rd Suite H, Indianapolis, IN 46227-0873

Authorised official

Name: Andrew a Johnstone
Title: Physician
Phone: (317) 884-3725

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Indiana →

Registry record

NPI: 1033205984
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 5 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.