Cullen    McCarthy    MD
Contract Details
Infirmary Medical Clinics
Facility name
Provider ID
P000000001
NPI
1104262112
Tax ID
842855485
Effective Date
10/7/2022
Last Updated
5/16/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1855 Springhill Avenue
Mobile, AL 36607
United States
Phone
251-471-3544 (Phone)
Billing Details
Address
1855 Springhill Avenue
Mobile, AL 36607
Billing Phone
251-471-3544
Specialty Type
Surgery, Thoracic
Map
Address