James    Poteet    MD
Contract Details
Infirmary Occupational Health--Mobile-Water Street
Facility name
Provider ID
P000001382
Tax ID
631056697
Effective Date
8/18/1992
Last Updated
4/21/2015
Direct Contract
Yes
Term Date
4/21/2015
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
305 North Water Street
Mobile, AL 36602
United States
County
Mobile
Phone
2514333781 (Phone)
Billing Details
Address
P.O. Box 322
Mobile, AL 36601
Specialty Type
General Practice
Map
Address