Charlie    Ferguson    MD
Contract Details
Med Plus Florence
Facility name
Provider ID
P000000533
NPI
1962488429
Tax ID
630903529
Effective Date
12/20/2023
Last Updated
1/3/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2908 Mall Drive
Florence, AL 35630
United States
County
Lauderdale
Phone
2567672702 (Phone)
Billing Details
Address
2908 Mall Drive
Florence, AL 35630
Billing Phone
256-767-2702
Specialty Type
Emergency Medicine
Map
Address