Thomas  A  Pugliese    MD
Contract Details
Cherokee Medical Center
Facility name
Provider ID
P000001405
NPI
1306838818
Tax ID
204370931
Effective Date
7/1/2011
Last Updated
6/12/2014
Direct Contract
Yes
Term Date
6/12/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_004
Location Details
Address
300 Medical Center Drive Suite 401
Gadsden, AL 35903
United States
County
Etowah
Phone
2564923220 (Phone)
Billing Details
Address
P.O. Box 277503
Atlanta, GA 30384
Billing Phone
2569275531
Specialty Type
Gastroenterology
Map
Address