W. Doug    Everett    MD
Contract Details
Selma Rehabilitation Services
Facility name
Provider ID
P000000504
Tax ID
636005396
Effective Date
12/7/2000
Last Updated
8/29/2013
Direct Contract
Yes
Term Date
8/29/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_055
Location Details
Address
1023 Medical Center Parkway Suite 200
Selma, AL 36701
United States
County
Dallas
Phone
3348754184 (Phone)
Billing Details
Address
Specialty Type
Physical Medicine & Rehabilitation
Map
Address