Colie    Crutcher    MD
Contract Details
Dr. Colie Crutcher
Facility name
Provider ID
P000000001
NPI
1407967771
Tax ID
631156289
Effective Date
10/14/2020
Last Updated
10/27/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
754 Derby Drive
York, AL 36925
United States
Phone
205-392-5350 (Phone)
Billing Details
Address
754 Derby Drive
York, AL 36925
Billing Phone
205-392-5350
Specialty Type
Internal Medicine
Map
Address