Brittney    Davis    CRNP
Contract Details
Winfield Family & Occupational Medicine
Facility name
Provider ID
P000000001
NPI
1962753368
Tax ID
631234811
Effective Date
9/22/2020
Last Updated
9/30/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
191 Carraway Drive Suite A
Winfield, AL 35594
United States
Phone
205-487-1586 (Phone)
Billing Details
Address
191 Carraway Drive
Suite A
Winfield, AL 35594
Billing Phone
205-487-1586
Specialty Type
Family Practice
Map
Address