Maria    Martinez    MD
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1801242276
Tax ID
363966745
Effective Date
6/1/2021
Last Updated
6/11/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
1647 N McFarland Blvd Suite A1
Florence, AL 35406
United States
Phone
877-448-3627 (Phone)
Billing Details
Address
901 McClinktock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
888-220-6432
Specialty Type
Internal Medicine
Map
Address