Thomas  A  Blessey    MD
Contract Details
The Taylor Clinic
Facility name
Provider ID
P000000155
NPI
1326195694
Tax ID
630876635
Effective Date
10/2/2000
Last Updated
9/11/2013
Direct Contract
Yes
Term Date
9/11/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3715 Dauphin Street Building 2, Suite 6-A
Mobile, AL 36602
United States
County
Mobile
Phone
2514338448 (Phone)
Billing Details
Address
Specialty Type
Internal Medicine
Map
Address