Alan  J  Sherman    MD
Contract Details
Providence Family Physicians--Mobile-Tillman's Corner
Facility name
Provider ID
P000001596
NPI
1952315343
Tax ID
631235666
Effective Date
2/1/2002
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
5100 Rangeline Service Road North
Mobile, AL 36619
United States
County
Mobile
Phone
2516614454 (Phone)
Billing Details
Address
124 University Boulevard
Suite 1214-B
Mobile, AL 36608
Billing Phone
2513423949
Specialty Type
Family Practice
Map
Address