Douglas  S  Reynolds    MD
Contract Details
University Family Practice
Facility name
Provider ID
P000001450
NPI
1265537567
Tax ID
721396366
Effective Date
12/15/1999
Last Updated
9/12/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
904 Anna Avenue
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2053456960 (Phone)
Billing Details
Address
Specialty Type
Family Practice
Map
Address