Clinton    Allen    MD
Contract Details
Perry Medical Clinic
Facility name
Provider ID
P000000001
NPI
1679598775
Tax ID
630853465
Effective Date
3/11/2021
Last Updated
3/19/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
401 Northwood Drive
Centre, AL 35960
United States
Phone
2569273607 (Phone)
Billing Details
Address
401 Northwood Drive
Centre, AL 35960
Billing Phone
2569273607
Specialty Type
Family Practice
Website
Visit Website
Map
Address