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Christopher
J
Frailie
MD
Contract Details
Greater Mobile Urgent Care--Mobile-Springhill
Facility name
Provider ID
P000007765
NPI
1487710042
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
Emergency Medicine
Map
Address