Charles  S  Tompkins    MD
Contract Details
Family Practice Associates, LLC
Facility name
Provider ID
P000001754
NPI
1760418438
Tax ID
630960121
Effective Date
12/15/2001
Last Updated
5/10/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1704 South Forest Avenue
Luverne, AL 36049
United States
County
Crenshaw
Phone
3343353383 (Phone)
Billing Details
Address
Specialty Type
Family Practice
Map
Address