Contract Details
Facility name
Childersburg Wound Care Clinic
Provider ID
P000000001
Tax ID
474757851
Effective Date
1/1/2024
Last Updated
12/18/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_528
Location Details
Address
34011 Highway 280 East
Childersburg, AL 35044
United States
Phone
205-877-1000 (Phone)
Billing Details
Address
34011 Highway 280 East
Childersburg, AL 35044
Billing Phone
205-877-1000
Specialty Type
Wound Care
Map
Address