| Greencastle Internal Medicine & Primary Care, Llc | |
|
305 Medic Way Greencastle IN 46135-2296 | |
| (765) 653-4633 | |
| (765) 653-0562 |
| Full Name | Greencastle Internal Medicine & Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 Medic Way, Greencastle, Indiana |
| Authorized Official Name and Position | Troy T Quiz (OWNER) |
| Authorized Official Contact | 7656534633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greencastle Internal Medicine & Primary Care, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-4633 | Greencastle Internal Medicine & Primary Care, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-4633 |
| NPI Number | 1528274941 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 2961587142 |
|---|---|
| Medicare Enrollment ID | O20080312000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528274941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01048550 (Indiana) | Primary |
| Provider Name | Troy T Quiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245238575 PECOS PAC ID: 6608951884 Enrollment ID: I20080312000276 |
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