Rodney  M  Snow    MD
Contract Details
Baptist Wound Care Clinic at Princeton
Facility name
Provider ID
P000001642
NPI
1366454258
Tax ID
371440400
Effective Date
1/1/1996
Last Updated
2/4/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
833 Princeton Avenue Southwest Building 3, Suite 210
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057833740 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2057833740
Specialty Type
Infectious Diseases
Map
Address