Gregg    Delgado    DO
Contract Details
Cullman Primary Care, P.C.
Facility name
Provider ID
P000002642
NPI
1629059175
Tax ID
631165851
Effective Date
9/28/2011
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
4/24/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
501 Clark Street Northeast
Cullman, AL 35055
United States
County
Cullman
Phone
2567399898 (Phone)
Billing Details
Address
503 Clark Street Northeast
Cullman, AL 35055
Billing Phone
2567394131
Specialty Type
Radiology, Diagnostic
Map
Address