Peter  M  Szeto    MD
Contract Details
DeKalb Regional Medical Center
Facility name
Provider ID
P000001702
NPI
1003862889
Tax ID
204370870
Effective Date
12/1/2008
Last Updated
6/13/2014
Direct Contract
Yes
Term Date
4/25/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_011
Location Details
Address
1026 Goodyear Avenue Suite 200
Gadsden, AL 35903
United States
County
Etowah
Phone
2564929924 (Phone)
Billing Details
Address
P.O. Box 277507
Atlanta, GA 30384
Billing Phone
2569972317
Specialty Type
Cardiovascular Disease
Map
Address