Shayna    Kidd    NP
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1629667613
Tax ID
363966745
Effective Date
3/16/2023
Last Updated
9/9/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
20 Hughest Road Suite 103
Madison, AL 35758
United States
Phone
256-384-2695 (Phone)
Billing Details
Address
20 Hughes Road
Suite 103
Madison, AL 35758
Billing Phone
256-384-2695
Specialty Type
Infectious Diseases
Map
Address