Anthony    Tesoriero    MD
Contract Details
BHC Hospitalists--Walker Baptist Medical Center
Facility name
Provider ID
P000001724
NPI
1598841462
Tax ID
630925859
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3400 Highway 78 East
Jasper, AL 35501
United States
County
Walker
Phone
2053874401 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2053874401
Specialty Type
Internal Medicine
Map
Address