Kevin    Lokkesmoe    MD
Contract Details
Urgent Care Occupational Medicine
Facility name
Provider ID
P000008597
NPI
1285818583
Tax ID
223857651
Effective Date
3/6/2017
Last Updated
3/6/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4328 Armour Road
Columbus, GA 31904
United States
County
Muscogee
Phone
7065071213 (Phone)
Billing Details
Address
4328 Armour Road
Columbus, GA 31904
Billing Phone
7065071213
Specialty Type
Family Practice
Map
Address