Lance    Dyess    MD
Contract Details
Troy Regional Physicians
Facility name
Provider ID
P000000001
NPI
1912980269
Tax ID
273287067
Effective Date
5/6/2021
Last Updated
5/11/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
664 Veterans Blvd
Brundidge, AL 36010
United States
Phone
334-536-1001 (Phone)
Billing Details
Address
664 Veterans Blvd
Brundidge, AL 36010
Billing Phone
334-536-1001
Specialty Type
Family Practice
Website
Visit Website
Map
Address