Stanley  W  Jett    MD
Contract Details
BHC Lincoln
Facility name
Provider ID
P000000837
NPI
1154424695
Tax ID
631097421
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
47344 Highway 78
Lincoln, AL 35096
United States
County
Talladega
Phone
2057637848 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2057637848
Specialty Type
Family Practice
Map
Address