Michael  T  Ledet    MD
Contract Details
Springhill Medical Center Clinic--Eastern Shore
Facility name
Provider ID
P000000978
NPI
1407854482
Tax ID
630967293
Effective Date
3/23/2011
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
28260 Highway 98 Suite B
Daphne, AL 36526
United States
County
Baldwin
Phone
2514451850 (Phone)
Billing Details
Address
3715 Dauphin Street
Suite 503-B
Mobile, AL 36608
Billing Phone
2513406919
Specialty Type
Family Practice
Map
Address