James  F  Gauthier    MD
Contract Details
Occupational Health Group--Huntsville
Facility name
Provider ID
P000000602
NPI
1477602365
Tax ID
260811369
Effective Date
10/1/2000
Last Updated
2/8/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_251
Location Details
Address
1104 Monroe Street SW
Huntsville, AL 35801
United States
County
Madison
Phone
2562657000 (Phone)
Billing Details
Address
1104 Monroe Street SW
Huntsville, AL 35801
Billing Phone
2562657000
Specialty Type
Occupational Medicine
Map
Address