Billy  S  Walley    MD
Contract Details
Med+Plus Florence
Facility name
Provider ID
P000001815
NPI
1386620888
Tax ID
630903529
Effective Date
7/20/1992
Last Updated
6/3/2013
Direct Contract
Yes
Term Date
6/30/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
2908 Mall Drive
Florence, AL 35630
United States
County
Lauderdale
Phone
2567672702 (Phone)
Billing Details
Address
Specialty Type
Family Practice
Map
Address