Contract Details
Complete Family Medicine
Facility name
Alabama Specialty Clinic
Provider ID
P000008528
NPI
1790810950
Tax ID
631189798
Effective Date
12/15/2016
Last Updated
7/24/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1908 Cherokee Avenue SW
Cullman, AL 35055
United States
County
Cullman
Phone
2567361460 (Phone)
Billing Details
Address
1908 Cherokee Avenue SW
Cullman, AL 35055
Billing Phone
2567361460
Specialty Type
Occupational Medicine Facility
Map
Address