Muhammad  E  Ata    MD
Contract Details
Facility name
Provider ID
P000000001
NPI
1851308910
Tax ID
272596795
Effective Date
12/16/2021
Last Updated
12/17/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6110 County Road 88
Pisgah, AL 35765
United States
Phone
256-451-1250 (Phone)
Billing Details
Address
6110 County Road 88
Pisgah, AL 35765
Billing Phone
256-451-1250
Specialty Type
Internal Medicine
Map
Address