J Robert    Johnson    MD
Contract Details
Occupational Health Center
Facility name
Provider ID
P000000845
Tax ID
630521075
Effective Date
11/15/2001
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
6/19/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
7736 Highway 20 West Suite 1
Huntsville, AL 35806
United States
County
Madison
Phone
2568308930 (Phone)
Billing Details
Address
7736 Highway 20 West
Suite 1
Huntsville, AL 35806
Billing Phone
2568308930
Specialty Type
General Practice
Map
Address