Robert  E  Vickers    MD
Contract Details
Greater Mobile Urgent Care--Mobile-West Mobile
Facility name
Provider ID
P000007758
NPI
1982611158
Tax ID
273176829
Effective Date
5/1/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2350 Schillinger Road Suite A
Mobile, AL 36695
United States
County
Mobile
Phone
2516330123 (Phone)
Billing Details
Address
7943 Moffett Road
Semmes, AL 36575
Billing Phone
2516330123
Specialty Type
Emergency Medicine
Map
Address