Contract Details
Infirmary Medical Clinics
Facility name
IMC Diagnostic and Medical Clinic
Provider ID
P000008232
NPI
1447201066
Tax ID
631012832
Effective Date
10/6/2022
Last Updated
11/7/2022
Direct Contract
Yes
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
33650 Highway 43 Suite 300
Thomasville, AL 36784
United States
County
Clarke
Phone
2514351200 (Phone)
Billing Details
Address
33650 Highway 43
Suite 300
Thomasville, AL 36784
Billing Phone
2514351200
Specialty Type
Internal Medicine
Map
Address