Contract Details
Physicians Medical Center, LLC
Facility name
Physicians Medical Center Carraway
Provider ID
P000002335
NPI
1760696066
Tax ID
203957176
Effective Date
8/1/1992
Last Updated
8/29/2014
Direct Contract
Yes
Term Date
1/1/2008
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3001 27th Street North
Birmingham, AL 35207
United States
County
Jefferson
Phone
2055025801 (Phone)
Billing Details
Address
3001 27th Street North
Birmingham, AL 35207
Billing Phone
2055025801
Specialty Type
General Practice
Map
Address