Douglas    Ginas    MD
Contract Details
Albertville Family Medicine
Facility name
Provider ID
P000000001
NPI
1629059456
Tax ID
931490765
Effective Date
11/15/2023
Last Updated
11/22/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
201 W Main Street
Albertville, AL 35950
United States
Phone
256-251-2012 (Phone)
Billing Details
Address
201 W Main Street
Albertville, AL 35950
Billing Phone
256-251-2012
Specialty Type
Family Practice
Map
Address