Carl  W  Marten    MD
Contract Details
IMC - Monroeville Medical Clinic, PC
Facility name
Provider ID
P000001061
NPI
1205865839
Tax ID
630632327
Effective Date
9/1/1998
Last Updated
11/21/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
16 Medical Center Dr
Monroeville, AL 36460
United States
County
Monroe
Phone
2515753266 (Phone)
Billing Details
Address
Specialty Type
Family Practice
Map
Address