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General NPI Number Information
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NPI Number | 1790971802
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Entity Type | Organization
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Legal Business Name | JOEL L MCGILL MD PSC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 01/19/2008
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Provider Practice Location Address
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Address Line | 213 E CROSS STREET
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City | BROWNSTOWN
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State | IN
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Zip | 47220-2012
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Country | US
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Telephone | 812-358-3668
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Fax | 812-358-3860
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Provider Business Mailing Address
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Address Line | 213 E CROSS STREET
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City | BROWNSTOWN
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State | IN
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Zip | 47220-2012
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Country | US
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Telephone | 812-358-3668
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Fax | 812-358-3860
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOEL LEWIS MCGILL
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Credential | MD
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Telephone | 812-358-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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