Joseph    Rea    MD
Contract Details
Occupational Health Group--Decatur
Facility name
Provider ID
P000001430
NPI
1770632671
Tax ID
873895972
Effective Date
2/17/2022
Last Updated
8/23/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1874 Beltline Road
Decatur, AL 35603
United States
County
Morgan
Phone
2569734325 (Phone)
Billing Details
Address
1874 Beltline Road
Decatur, AL 35603
Billing Phone
2569734325
Specialty Type
Occupational Medicine
Map
Address