James  C  Thornton    MD
Contract Details
Cardiothoracic Surgery of Anniston
Facility name
Provider ID
P000001743
NPI
1952339285
Tax ID
200219603
Effective Date
2/1/2004
Last Updated
6/10/2014
Direct Contract
Yes
Term Date
4/19/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
904 Leighton Avenue Suite 604
Anniston, AL 36207
United States
County
Calhoun
Phone
2052371063 (Phone)
Billing Details
Address
904 Leighton Avenue
Suite 604
Anniston, AL 36207
Billing Phone
2052371063
Specialty Type
Surgery, Thoracic
Map
Address