Judy  V  Blair    MD
Contract Details
Greater Mobile Urgent Care--Mobile-Springhill
Facility name
Provider ID
P000007760
NPI
1487603437
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
4402 Old Shell Road
Mobile, AL 36608
United States
County
Mobile
Phone
2516330123 (Phone)
Billing Details
Address
7943 Moffett Road
Semmes, AL 36575
Billing Phone
2516330123
Specialty Type
Internal Medicine
Map
Address