Huey  R  Kidd    DO
Contract Details
Physicians Care of Thomasville
Facility name
Provider ID
P000000899
NPI
1265427090
Tax ID
562426883
Effective Date
12/15/2005
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
33621 Highway 43
Thomasville, AL 36784
United States
County
Clarke
Phone
3346365311 (Phone)
Billing Details
Address
3050 Highway 5 North
Unit 134
Thomasville, AL 36784
Billing Phone
3346365311
Specialty Type
Family Practice
Map
Address