Jeremy  C  Barlow    MD
Contract Details
Nesbitt Pain Associates
Facility name
Provider ID
P000002633
NPI
1669456851
Tax ID
753052020
Effective Date
11/8/2011
Last Updated
6/29/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
800 Saint Vincent's Drive Suite 710
Birmingham, AL 35205
United States
County
Jefferson
Phone
2055583636 (Phone)
Billing Details
Address
410 1st Avenue Southeast
Suite 201
Cullman, AL 35055
Billing Phone
2567346227
Specialty Type
Pain Management
Map
Address