William  R  Higgs    MD
Contract Details
Advanced Wound Care and Limb Preservation
Facility name
Provider ID
P000000758
NPI
1396893814
Tax ID
455602876
Effective Date
5/19/2015
Last Updated
7/15/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
300 Dauphin Street Building 2, Suite 600
Mobile, AL 36608
United States
County
Mobile
Phone
2514547802 (Phone)
Billing Details
Address
300 Dauphin Street
Building 2, Suite 600
Mobile, AL 36608
Billing Phone
2514547802
Specialty Type
Surgery, Thoracic
Map
Address