Carlos    Liotta    MD
Contract Details
Shoals Primary Care
Facility name
Provider ID
P000000001
NPI
1528270790
Tax ID
270952681
Effective Date
4/8/2021
Last Updated
4/16/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1404 East Avalon Avenue Suite A
Tuscumbia, AL 35674
United States
Phone
2563815507 (Phone)
Billing Details
Address
1404 East Avalon Avenue
Suite A
Tuscumbia, AL 35674
Billing Phone
2563815507
Specialty Type
Family Practice
Website
Visit Website
Map
Address