Nidal    Omar    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000000001
NPI
1639565294
Tax ID
824193965
Effective Date
10/7/2022
Last Updated
11/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3 Mobile Infirmary Circle Suite 410
Mobile, AL 36607
United States
Phone
251-435-6850 (Phone)
Billing Details
Address
3 Mobile Infirmary Circle
Suite 410
Mobile, AL 36607
Billing Phone
251-435-6850
Specialty Type
Surgery, Neurological
Map
Address