Phillip    Whatley    RPT
Contract Details
Southern Springs Healthcare & Rehab
Facility name
Provider ID
P000000001
NPI
1326270406
Tax ID
631073552
Effective Date
10/7/2022
Last Updated
10/12/2022
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
745 Southern Springs Road
Union Springs, AL 36089
United States
Phone
334-738-5590 (Phone)
Billing Details
Address
745 Southern Springs Road
Union Springs, AL 36089
Billing Phone
334-738-5590
Specialty Type
Physical Therapy
Workers Comp Coordinator
Phillip
Whatley
334-738-5590
pwhatleypt@gmail.com
Map
Address