Nahom    Eyasu    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000000001
NPI
1912404021
Tax ID
813158598
Effective Date
12/1/2022
Last Updated
12/12/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1725 Springhill Avenue
Mobile, AL 36604
United States
Phone
251-435-1330 (Phone)
Billing Details
Address
1725 Springhill Avenue
Mobile, AL 36604
Billing Phone
251-435-1330
Specialty Type
Internal Medicine
Map
Address