Grand Ole Docs of the Southside, LLC
Grand Ole Docs of the Southside, LLC is a Family Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6349 S East StIndianapolis, IN 46227-7107
Phone: (317) 807-0247
Fax: (317) 735-1951
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01036126A (IN) |
|---|
Record details
| NPI number | 1639359037 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Dewester — Owner · (317) 807-0247 |
| Other names | Central Indiana Medical Group |
| NPI enumerated | November 14, 2007 |
| Last updated in NPPES | December 5, 2013 |
| Mailing address | 1350 E County Line Rd, Suite H, Indianapolis, IN 46227-0873 |
Other providers in Indianapolis
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Dr. Michael Q. Graham, MD
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Grand Old Docs of the Southside
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Grand Ole Docs of the Southside
8921 Southpointe Dr B1, Indianapolis, IN 46227-0968 · (317) 882-0535
-
Grand Ole Docs of the Southside, LLC
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Dr. Sharron Probert Grannis, MD
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Dr. Shaun J Grannis, MD
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Alycia Valerie Graves, FNP-C
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