Contract Details
Davis Clinic
Facility name
Davis Clinic
Provider ID
P000009375
Tax ID
270952681
Effective Date
7/17/2019
Last Updated
4/16/2021
Direct Contract
Yes
Term Date
4/7/2021
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1404 East Avalon Avenue
Tuscumbia, AL 35674
United States
County
Colbert
Phone
2563815507 (Phone)
Billing Details
Address
1404 East Avalon Avenue
Tuscumbia, AL 35674
Billing Phone
2563815507
Specialty Type
Surgery, Orthopedic
Map
Address