Michael  A  Williams    DO
Contract Details
PrimeCare
Facility name
Provider ID
P000001876
NPI
1679542740
Tax ID
320534968
Effective Date
10/1/2017
Last Updated
3/21/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4126 West Main Street
Dothan, AL 36305
United States
County
Houston
Phone
3347932120 (Phone)
Billing Details
Address
4126 West Main Street
Dothan, AL 36305
Billing Phone
3347932120
Specialty Type
Family Practice
Map
Address