John  E  Songer    MD
Contract Details
Cullman Primary Care, P.C.
Facility name
Provider ID
P000002689
NPI
1922188564
Tax ID
631165851
Effective Date
9/28/2011
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1800 Highway 157 Suite 100
Cullman, AL 35058
United States
County
Cullman
Phone
2567365505 (Phone)
Billing Details
Address
503 Clark Street Northeast
Cullman, AL 35055
Billing Phone
2567394131
Specialty Type
Surgery, Orthopedic
Map
Address