Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Old Docs of the Southside

Organization Family Medicine Physician · NPI 1942396890

Grand Old Docs of the Southside is a Family Medicine Physician in Greenwood, Indiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

134 N Emerson Ave
Greenwood, IN 46143-9760
Phone: (317) 882-7344
Fax: (317) 882-4793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942396890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Duggan — Physician · (317) 882-7344
Other names Central Indiana Medical Group
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 10, 2008
Mailing address1350 E County Line Rd, Suite I, Indianapolis, IN 46227-0873

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