Robert    Eaton    DO
Contract Details
Bama Urgent Medicine
Facility name
Provider ID
P000000466
NPI
1073513479
Tax ID
631115065
Effective Date
8/4/2000
Last Updated
6/6/2016
Direct Contract
Yes
Term Date
9/19/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1771 Skyland Boulevard East
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2055530199 (Phone)
Billing Details
Address
1771 Skyland Boulevard East
Tuscaloosa, AL 35405
Billing Phone
2055530199
Specialty Type
Family Practice
Map
Address