Scott    Argo    MD
Contract Details
Dekalb Family Medicine
Facility name
Provider ID
P000000001
NPI
1285963421
Tax ID
204370983
Effective Date
5/29/2020
Last Updated
6/3/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
19085 AL-75
Ider, AL 35981
United States
Phone
256-657-7833 (Phone)
Billing Details
Address
19085 AL-75
Ider, AL 35981
Billing Phone
256-657-7833
Specialty Type
Family Practice
Map
Address