Lucie  M  King    MD
Contract Details
Facility name
Provider ID
P000000906
NPI
1902896509
Tax ID
630860376
Effective Date
8/19/1992
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
701 University Boulevard East Suite 602
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2057586611 (Phone)
Billing Details
Address
P.O. Box 2689
Tuscaloosa, AL 35403
Specialty Type
Surgery, Hand
Map
Address