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George
L
Tarbutton
MD
Contract Details
Springhill Physician Practices
Facility name
Provider ID
P000001706
NPI
1538219399
Tax ID
630967293
Effective Date
3/23/2011
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
9/9/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
210 Government Street
Mobile, AL 36602
United States
County
Mobile
Phone
2514338448
(
Phone
)
Billing Details
Address
3715 Dauphin Street
Suite 503-B
Mobile, AL 36608
Billing Phone
2513406919
Specialty Type
Occupational Medicine
Map
Address