William  G  Kuczerpa    MD
Contract Details
Rapid Care Family Medical Clinic
Facility name
Provider ID
P000000948
NPI
1730170978
Tax ID
631152393
Effective Date
11/1/2004
Last Updated
6/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
9511 Highway 431
Albertville, AL 35950
United States
County
Marshall
Phone
2568917001 (Phone)
Billing Details
Address
9511 Highway 431
Albertville, AL 35950
Billing Phone
2568917001
Specialty Type
Pulmonary Diseases
Map
Address