James    White    MD
Contract Details
Northeast Alabama Neurological Services
Facility name
Provider ID
P000001853
NPI
1780611251
Tax ID
631141940
Effective Date
1/1/2005
Last Updated
6/11/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100 Medical Center Drive Suite 401
Gadsden, AL 35903
United States
County
Etowah
Phone
2564922145 (Phone)
Billing Details
Address
Specialty Type
Surgery, Neurological
Map
Address