Richard  W  Lee    MD
Contract Details
The Occupational Health Center at Gadsden Regional Medical Center
Facility name
Provider ID
P000000979
Tax ID
631102774
Effective Date
4/15/2002
Last Updated
6/16/2014
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
1007 Goodyear Avenue
Gadsden, AL 35903
United States
County
Etowah
Phone
2564944500 (Phone)
Billing Details
Address
P.O. Box 404799
Atlanta, GA 30384
Billing Phone
2564944000
Specialty Type
General Practice
Map
Address