Jack  S  Sherrer  Jr  MD
Contract Details
Primecare of Dothan
Facility name
Provider ID
P000001597
NPI
1104894740
Tax ID
260789394
Effective Date
11/15/2001
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
2/26/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4126 West Main Street
Dothan, AL 36305
United States
County
Houston
Phone
3347932120 (Phone)
Billing Details
Address
4126 West Main Street
Dothan, AL 36305
Billing Phone
3347932120
Specialty Type
Family Practice
Map
Address