Contract Details
Southeast Alabama Medical Center Clinics
Facility name
Chipley Medical Group
Provider ID
P000007448
NPI
1245389303
Tax ID
636004476
Effective Date
7/1/1995
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1376 Brickyard Road Suite 3
Chipley, FL 32428
United States
County
Washington
Phone
8506380552 (Phone)
Billing Details
Address
1376 Brickyard Road
Suite 3
Chipley, FL 32428
Billing Phone
8506380552
Specialty Type
Family Practice
Map
Address