Healthcare Provider Details

I. General information

NPI: 1972967149
Provider Name (Legal Business Name): ACCUDOC INC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 04/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1463 W WESTRIDGE PKWY
GREENSBURG IN
47240-3252
US

IV. Provider business mailing address

1463 W WESTRIDGE PKWY
GREENSBURG IN
47240-3252
US

V. Phone/Fax

Practice location:
  • Phone: 812-662-9500
  • Fax: 812-663-6102
Mailing address:
  • Phone: 812-662-9500
  • Fax: 812-663-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. TRENT RAY AUSTIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 812-932-3224