Jonathan    Sherrill    MD
Contract Details
Emergi-Care Clinic
Facility name
Provider ID
P000000001
NPI
1275928301
Tax ID
630849296
Effective Date
1/1/2022
Last Updated
6/8/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1601 University Boulevard East
Tuscaloosa, AL 35404
United States
Phone
205-349-2273 (Phone)
Billing Details
Address
1771 Skyland Boulevard East
Tuscaloosa, AL 35405
Billing Phone
205-349-2273
Specialty Type
Internal Medicine
Website
Visit Website
Map
Address