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NPI Code Detail

MEDICARE: MARY PELL ABERNATHY MD

MEDICARE: MARY PELL ABERNATHY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine Physician01042086IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073559027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY PELL ABERNATHY MD
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1429 N 6TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-1019
Country : US
Telephone Number : 812-242-3115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 02/08/2023

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Directions to “ MARY PELL ABERNATHY MD” Practice Location

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