Victor    Sparks    MD
Contract Details
Marshall Primary Care
Facility name
Provider ID
P000000001
NPI
1831131986
Tax ID
854024115
Effective Date
10/23/2024
Last Updated
10/31/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
131 Golfview Drive NW
Arab, AL 35016
United States
Phone
256-640-8416 (Phone)
Billing Details
Address
131 Golfview Drive NE
Arab, AL 35016
Billing Phone
256-640-8416
Specialty Type
Emergency Medicine
Website
Visit Website
Map
Address