Thomas  N  Nolen    MD
Contract Details
BHC Columbiana
Facility name
Provider ID
P000001266
NPI
1306858287
Tax ID
631199081
Effective Date
8/24/1998
Last Updated
2/4/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
247 Walton Street
Columbiana, AL 35051
United States
County
Shelby
Phone
2056709690 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2056709690
Specialty Type
Family Practice
Map
Address