Richard  P  Richardson    MD
Contract Details
The Breast Care Center
Facility name
Provider ID
P000001460
NPI
1902888738
Tax ID
631070506
Effective Date
11/15/1994
Last Updated
11/15/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
910 Adams Street Southeast Suite 130
Huntsville, AL 35801
United States
County
Madison
Phone
2562657966 (Phone)
Billing Details
Address
Specialty Type
Oncology
Map
Address