Jonathan    Campbell    MD
Contract Details
USA Healthcare Authority
Facility name
Provider ID
P000000001
NPI
1821065509
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
2423 Schillinger Road
Mobile, AL 36695
United States
Phone
251-660-5950 (Phone)
Billing Details
Address
2423 Schillinger Road
Mobile, AL 36695
Billing Phone
251-660-5950
Specialty Type
Family Practice
Map
Address