Jessica    Earnest    NP
Contract Details
Margaret Medical Clinic
Facility name
Provider ID
P000000001
NPI
1912475658
Tax ID
854324858
Effective Date
12/12/2023
Last Updated
12/14/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
125 Jeffrey Wilson Drive
Odenville, AL 35120
United States
Phone
205-352-0001 (Phone)
Billing Details
Address
125 Jeffrey Wilson Drive
Odenville, AL 35120
Billing Phone
205-352-0001
Specialty Type
Nurse Practitioner
Website
Visit Website
Map
Address