Sunil  K  Sharma    MD
Contract Details
PriCare
Facility name
Provider ID
P000007373
NPI
1376604272
Tax ID
630685246
Effective Date
11/15/2002
Last Updated
10/14/2015
Direct Contract
Yes
Term Date
10/14/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
44 Aliant Parkway
Alexander City, AL 35010
United States
County
Tallapoosa
Phone
2562344131 (Phone)
Billing Details
Address
P.O. Box 789
Alexander City, AL 35011
Billing Phone
2562344131
Specialty Type
Family Practice
Map
Address