Ashley    Thomas    NP
Contract Details
DeKalb Urgent Care and Wellness Clinic
Facility name
Provider ID
P000000001
NPI
1497027684
Tax ID
823245132
Effective Date
3/21/2023
Last Updated
3/28/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
157 Marshall Road
Rainsville, AL 35986
United States
Phone
256-638-9355 (Phone)
Billing Details
Address
157 Marshall Road
Rainsville, AL 35986
Billing Phone
256-638-9355
Specialty Type
Nurse Practitioner
Map
Address