Theresa    Wadas    NP
Contract Details
CRMC Medical Group, LLC
Facility name
Provider ID
P000000001
NPI
1093754947
Tax ID
844785596
Effective Date
2/12/2021
Last Updated
2/25/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1912 Highway 157
Cullman, AL 35058
United States
Phone
2567372000 (Phone)
Billing Details
Address
1912 Highway 157
Cullman, AL 35058
Billing Phone
2567372000
Specialty Type
Hospitalist
Website
Visit Website
Map
Address