David    Purner    MD
Contract Details
Occupational Health Group
Facility name
Provider ID
P000000001
NPI
1083623987
Tax ID
260811369
Effective Date
10/1/2000
Last Updated
11/25/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_251
Location Details
Address
15243 Greenfield Drive
Athens, AL 35613
United States
Phone
256-771-0994 (Phone)
Billing Details
Address
15243 Greenfield Drive
Athens, AL 35613
Billing Phone
Specialty Type
Family Practice
Website
Map
Address