Douglas  W  Pahl    MD
Contract Details
Hughston Clinic--Thomaston
Facility name
Provider ID
P000001307
NPI
1841257136
Tax ID
581155460
Effective Date
2/1/1994
Last Updated
12/2/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_140
Location Details
Address
522 North Center Street
Thomaston, GA 30286
United States
County
Upson
Phone
7066464371 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
7063246661
Specialty Type
Surgery, Orthopedic
Map
Address