Rodney  C  Perry    DO
Contract Details
Rainbow City Immediate Care
Facility name
Provider ID
P000001347
Tax ID
630959986
Effective Date
9/1/1998
Last Updated
7/23/2013
Direct Contract
Yes
Term Date
7/23/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
3326 Rainbow Drive
Rainbow City, AL 35906
United States
County
Etowah
Phone
2564421118 (Phone)
Billing Details
Address
Specialty Type
General Practice
Map
Address