Contract Details
PriMed Physicians, Inc.
Facility name
PriMed - Atlanta Highway
Provider ID
P000007571
NPI
1134202799
Tax ID
200436418
Effective Date
4/18/1995
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
7/22/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4305 Atlanta Highway
Montgomery, AL 36109
United States
County
Montgomery
Phone
3342717051 (Phone)
Billing Details
Address
100 Capitol Commerce Boulevard
Suite 250
Montgomery, AL 36117
Billing Phone
3343234000
Specialty Type
Family Practice
Map
Address