Jack  S  Sherrer  Jr  MD
Contract Details
Occupational Medicine of Columbus
Facility name
Provider ID
P000001597
NPI
1104894740
Tax ID
432022725
Effective Date
6/15/2006
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
7301 Northlake Drive
Columbus, GA 31909
United States
County
Muscogee
Phone
7062211600 (Phone)
Billing Details
Address
7301 Northlake Drive
Columbus, GA 31909
Billing Phone
7062211600
Specialty Type
Family Practice
Map
Address