James  A  Kimble    MD
Contract Details
Retina Specialists of Alabama
Facility name
Provider ID
P000000904
NPI
1285663732
Tax ID
631248335
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1201 11th Avenue South Suite 300
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059332625 (Phone)
Billing Details
Address
P.O. Box 830674
Birmingham, AL 35283
Billing Phone
2059332625
Specialty Type
Ophthalmology
Map
Address