John  A  Hamilton    MD
Contract Details
Occupational Health Center--Mobile
Facility name
Provider ID
P000000699
NPI
1275684417
Tax ID
463558386
Effective Date
9/28/2011
Last Updated
3/7/2016
Direct Contract
Yes
Term Date
3/7/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
89.00
Location Details
Address
2050 Michigan Avenue
Mobile, AL 36615
United States
County
Mobile
Phone
2514346770 (Phone)
Billing Details
Address
2050 Michigan Avenue
Mobile, AL 36615
Billing Phone
2514346770
Specialty Type
Occupational Medicine
Map
Address