Rommel  C  Go    MD
Contract Details
Go Medical Group
Facility name
Provider ID
P000000621
NPI
1477548469
Tax ID
823282645
Effective Date
8/28/2019
Last Updated
3/7/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2692 US Highway 431
Boaz, AL 35957
United States
County
Marshall
Phone
2565586000 (Phone)
Billing Details
Address
2692 US Highway 431
Boaz, AL 35957
Billing Phone
256-558-6000
Specialty Type
Occupational Medicine
Map
Address