Larry  G  Stephens    MD
Contract Details
Cherokee Medical Center
Facility name
Provider ID
P000001668
NPI
1346282282
Tax ID
204370931
Effective Date
7/1/2011
Last Updated
6/12/2014
Direct Contract
Yes
Term Date
1/3/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_004
Location Details
Address
3513 South Brookwood Circle
Birmingham, AL 35223
United States
County
Jefferson
Phone
8002313672 (Phone)
Billing Details
Address
P.O. Box 277503
Atlanta, GA 30384
Billing Phone
2569275531
Specialty Type
Emergency Medicine
Map
Address