James  S  Donald    MD
Contract Details
Chatom Primary Care, PC
Facility name
Provider ID
P000000001
NPI
1558339234
Tax ID
631250458
Effective Date
2/4/2022
Last Updated
2/10/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
14634 Saint Stephens Avenue
Chatom, AL 36518
United States
Phone
251-847-6262 (Phone)
Billing Details
Address
14634 Saint Stephens Avenue
Chatom, AL 36518
Billing Phone
251-847-6262
Specialty Type
Family Practice
Map
Address