Sean  P  O' Malley    MD
Contract Details
Brain & Spine Center
Facility name
Provider ID
P000001278
NPI
1588728638
Tax ID
582646045
Effective Date
9/15/2005
Last Updated
6/6/2014
Direct Contract
Yes
Status
Active
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