Contract Details
Facility name
Family Medical Center - Thomasville
Provider ID
P000002139
NPI
1316041478
Tax ID
631047919
Effective Date
2/15/1994
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1415 Mosley Drive
Thomasville, AL 36784
United States
County
Clarke
Phone
3346369613 (Phone)
Billing Details
Address
1415 Mosley Drive
Thomasville, AL 36784
Billing Phone
3346369613
Specialty Type
Family Practice
Map
Address