Contract Details
South Dekalb Family Medical Associates
Facility name
Med-Assist
Provider ID
P000007484
NPI
1538487020
Tax ID
631105532
Effective Date
3/28/2001
Last Updated
4/19/2023
Direct Contract
Yes
Term Date
4/17/2023
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
15239 Highway 68 West
Crossville, AL 35962
United States
County
De Kalb
Phone
2565287173 (Phone)
Billing Details
Address
15239 Highway 68 West
Crossville, AL 35962
Billing Phone
2565287173
Specialty Type
Family Practice
Map
Address