Rebecca    Ferguson    NP
Contract Details
Med Plus Florence
Facility name
Provider ID
P000000001
NPI
1780963066
Tax ID
630903529
Effective Date
12/20/2023
Last Updated
1/3/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2908 Mall Drive
Florence, AL 35630
United States
Phone
256-767-2702 (Phone)
Billing Details
Address
2908 Mall Drive
Florence, AL 35630
Billing Phone
Specialty Type
Nurse Practitioner
Map
Address