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Contract Details
Physicians Care of Clarke
Facility name
Physicians Care of Thomasville
Provider ID
P000000001
NPI
1043987415
Tax ID
832589567
Effective Date
12/22/2021
Last Updated
12/28/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
33621 Highway 43
Thomasville, AL 36784
United States
Phone
334-636-5311
(
Phone
)
Billing Details
Address
33621 Highway 43
Thomasville, AL 36784
Billing Phone
334-636-5311
Specialty Type
Urgent Care Facility
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Address