Lucian    Newman  Jr  MD
Contract Details
Cherokee Medical Center
Facility name
Provider ID
P000001259
NPI
1477510527
Tax ID
204370931
Effective Date
7/1/2011
Last Updated
8/29/2014
Direct Contract
Yes
Term Date
6/12/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_004
Location Details
Address
419 South 5th Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565476331 (Phone)
Billing Details
Address
P.O. Box 277503
Atlanta, GA 30384
Billing Phone
2569275531
Specialty Type
Surgery, General Vascular
Map
Address