Robert  L  Whitmore  II  MD
Contract Details
Northside Medical Associates - Temporarily Not Taking WC 11/1/2022
Facility name
Provider ID
P000008026
NPI
1346358991
Tax ID
631261201
Effective Date
9/1/2014
Last Updated
8/28/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
70 Plaza Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2058149284 (Phone)
Billing Details
Address
70 Plaza Drive
Pell City, AL 35125
Billing Phone
2058149284
Specialty Type
Family Practice
Map
Address