Johnnie  W  Stevens    MD
Contract Details
Med-Assist--Albertville
Facility name
Provider ID
P000001672
NPI
1689601213
Tax ID
631105532
Effective Date
4/15/1998
Last Updated
6/10/2014
Direct Contract
Yes
Term Date
9/17/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3442 Highway 431
Albertville, AL 35950
United States
County
Marshall
Phone
2568403399 (Phone)
Billing Details
Address
3442 Highway 431
Albertville, AL 35950
Billing Phone
2565931234
Specialty Type
Family Practice
Map
Address