Billy  S  Walley    MD
Contract Details
Med Plus Muscle Shoals
Facility name
Provider ID
P000001815
NPI
1386620888
Tax ID
631129817
Effective Date
7/20/1992
Last Updated
8/19/2014
Direct Contract
Yes
Term Date
9/4/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
108 West Avalon Avenue
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563899300 (Phone)
Billing Details
Address
108 West Avalon Avenue
Muscle Shoals, AL 35661
Billing Phone
2563899300
Specialty Type
Family Practice
Map
Address