Donal  K  Smith    RPT
Contract Details
HealthActions
Facility name
Provider ID
P000000001
NPI
1942884341
Tax ID
630815380
Effective Date
6/1/2021
Last Updated
6/7/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2970 Ross Clark Circle Suite 1
Dothan, AL 36301
United States
Phone
334-305-0222 (Phone)
Billing Details
Address
1711 College Avenue
Jackson, AL 36545
Billing Phone
334-305-0222
Specialty Type
Physical Therapy
Map
Address