Scott    Argo    MD
Contract Details
DeKalb Primary Care
Facility name
Provider ID
P000000001
NPI
1285963421
Tax ID
990835906
Effective Date
12/19/2024
Last Updated
1/16/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1357 Old Water Works Road SW
Fort Payne, AL 35968
United States
Phone
256-844-2911 (Phone)
Billing Details
Address
1357 Old Water Works Road SW
Fort Payne, AL 35968
Billing Phone
256-844-2911
Specialty Type
Family Practice
Map
Address