Craig    Oliver    MD
Contract Details
USA Healthcare Authority
Facility name
Provider ID
P000000001
NPI
1831552538
Tax ID
821388539
Effective Date
4/16/2024
Last Updated
5/7/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
75 S University Blvd
Mobile, AL 36608
United States
Phone
251-471-7870 (Phone)
Billing Details
Address
75 S University Blvd
Mobile, AL 36608
Billing Phone
251-471-7870
Specialty Type
Internal Medicine
Map
Address