Kurt  D  Kraft    MD
Contract Details
Southeast Alabama Medical Center Clinics
Facility name
Provider ID
P000000942
NPI
1124089115
Tax ID
636004476
Effective Date
2/24/1999
Last Updated
8/6/2014
Direct Contract
Yes
Term Date
8/6/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
Geneva Medical Group 701 West Maple Avenue
Geneva, AL 36340
United States
County
Geneva
Phone
3346849208 (Phone)
Billing Details
Address
P.O. Box 328
Geneva, AL 36340
Billing Phone
3346849208
Specialty Type
Family Practice
Map
Address