Amberly    Smith    NP
Contract Details
Tennessee Valley Occupational Health
Facility name
Provider ID
P000000001
NPI
1568014751
Tax ID
923984495
Effective Date
4/23/2024
Last Updated
4/25/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
153 Ana Drive
Florence, AL 35630
United States
Phone
256-367-0921 (Phone)
Billing Details
Address
153 Ana Drive
Florence, AL 35630
Billing Phone
256-367-0921
Specialty Type
Nurse Practitioner
Website
Visit Website
Map
Address