David  M  Phillips    MD
Contract Details
USA Health Community Providers
Facility name
Provider ID
P000001357
NPI
1265448518
Tax ID
931371454
Effective Date
10/1/2023
Last Updated
10/13/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
8010 Moffat Road
Semmes, AL 36575
United States
County
Mobile
Phone
2516458946 (Phone)
Billing Details
Address
8010 Moffat Road
Mobile, AL 36575
Billing Phone
2513423949
Specialty Type
Family Practice
Map
Address