Ann Hart    Drum    MD
Contract Details
DeKalb Regional Medical Center
Facility name
Provider ID
P000000447
NPI
1205803046
Tax ID
204370870
Effective Date
12/1/2008
Last Updated
6/13/2014
Direct Contract
Yes
Term Date
4/25/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_011
Location Details
Address
3001 Scenic Highway
Gadsden, AL 35904
United States
County
Etowah
Phone
2565469265 (Phone)
Billing Details
Address
P.O. Box 277507
Atlanta, GA 30384
Billing Phone
2569972317
Specialty Type
Family Practice
Map
Address