James  E  McGrory    MD
Contract Details
Hughston Clinic--Thomaston
Facility name
Provider ID
P000001111
NPI
1578506556
Tax ID
581155460
Effective Date
4/15/2010
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
5/16/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_140
Location Details
Address
522 North Center Street
Thomaston, GA 30286
United States
County
Upson
Phone
7066464371 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
Specialty Type
Surgery, Orthopedic
Map
Address