Geoffrey    Odom    MD
Contract Details
Urgent Care 59
Facility name
Provider ID
P000000001
NPI
1295767218
Tax ID
922547381
Effective Date
9/8/2023
Last Updated
9/13/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
108C McMeans Avenue
Bay Minette, AL 36507
United States
Phone
251-491-0059 (Phone)
Billing Details
Address
108C McMeans Avenue
Bay Minette, AL 36507
Billing Phone
251-491-0059
Specialty Type
Emergency Medicine
Website
Visit Website
Map
Address