Contract Details
Facility name
Greene County Physicians Clinic
Provider ID
P000000001
NPI
1043389398
Tax ID
636005451
Effective Date
10/1/2020
Last Updated
10/20/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_463
Location Details
Address
607 Wilson Avenue
Eutaw, AL 35462
United States
Phone
205-372-4035 (Phone)
Billing Details
Address
607 Wilson Avenue
Eutaw, AL 35462
Billing Phone
Specialty Type
Urgent Care Facility
Website
Map
Address