Manuel    Caceres Serrano    MD
Contract Details
BHC Surgical Associates
Facility name
Provider ID
P000000241
NPI
1407081300
Tax ID
631105936
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
109 Coosa Street East Suite B
Talladega, AL 35160
United States
County
Talladega
Phone
2567610921 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2567610921
Specialty Type
Surgery, General
Map
Address