Diana  W  Warren    DO
Contract Details
Med Plus Muscle Shoals
Facility name
Provider ID
P000001826
NPI
1417064536
Tax ID
631129817
Effective Date
7/20/1992
Last Updated
8/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
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
Addiction Medicine
Map
Address