Contract Details
Facility name
Atmore Industrial Medicine
Provider ID
P000000001
NPI
1598953457
Tax ID
203649436
Effective Date
3/30/2020
Last Updated
4/1/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
611 E Laurel Street
Atmore, AL 36502
United States
Phone
251-368-8001 (Phone)
Billing Details
Address
611 E Laurel Street
Atmore, AL 36502
Billing Phone
251-368-8001
Specialty Type
Family Practice
Map
Address