Amy    Clark    MD
Contract Details
Ford City Clinic - Shoals Primary Care
Facility name
Provider ID
P000000001
NPI
1386931509
Tax ID
270952681
Effective Date
4/8/2021
Last Updated
4/16/2021
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
14490 County Line Road Suite A
Muscle Shoals, AL 35661
United States
Phone
256-661-2138 (Phone)
Billing Details
Address
14490 County Line Road
Suite A
Muscle Shoals, AL 35661
Billing Phone
256-661-2138
Specialty Type
Family Practice
Website
Visit Website
Map
Address