Michael    Davis    MD
Contract Details
Hughston Clinic
Facility name
Provider ID
P000000001
NPI
1619954153
Tax ID
581155460
Effective Date
6/1/2022
Last Updated
6/8/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
277 Huntress Street
Wetumpka, AL 36092
United States
Phone
334-274-9000 (Phone)
Billing Details
Address
277 Huntress Street
Wetumpka, AL 36092
Billing Phone
334-274-9000
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address