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Thomas
L
Francavilla
MD
Contract Details
Brain & Spine Center
Facility name
Provider ID
P000000566
NPI
1346203627
Tax ID
582646045
Effective Date
9/15/2005
Last Updated
6/6/2014
Direct Contract
Yes
Term Date
3/1/2012
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1004 1st Street North Suite 150
Alabaster, AL 35007
United States
County
Shelby
Phone
2056210122
(
Phone
)
Billing Details
Address
1004 1st Street North
Suite 150
Alabaster, AL 35007
Billing Phone
2056210122
Specialty Type
Surgery, Neurological
Map
Address