Christi    Bowling    NP
Contract Details
Bowling Family Medical
Facility name
Provider ID
P000000001
Tax ID
842213678
Effective Date
10/17/2024
Last Updated
10/29/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1369 A George Wallace Highway
Russellville, AL 35654
United States
Phone
256-333-4118 (Phone)
Billing Details
Address
1369 A George Wallace Highway
Russellville, AL 35654
Billing Phone
256-333-4118
Specialty Type
Nurse Practitioner
Website
Visit Website
Map
Address