David    Mulkey    MD
Contract Details
Ashland Family Care
Facility name
Provider ID
P000000001
NPI
1396206314
Tax ID
204531768
Effective Date
6/7/2022
Last Updated
6/10/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
83745 Highway 9
Ashland, AL 36251
United States
Phone
256-354-5064 (Phone)
Billing Details
Address
P.O. Box 67
Ashland, AL 36251
Billing Phone
256-354-4139
Specialty Type
Family Practice
Website
Visit Website
Map
Address