Norman  A  Garrison  Jr  MD
Contract Details
Industrial Health Services, LLC
Facility name
Provider ID
P000000598
NPI
1457380925
Tax ID
631280888
Effective Date
10/19/2001
Last Updated
5/29/2013
Direct Contract
Yes
Term Date
5/29/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
499 Saint Lukes Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342605111 (Phone)
Billing Details
Address
Specialty Type
Emergency Medicine
Map
Address