Farrukh    Jamil    MD
Contract Details
Gadsden Regional Medical Center
Facility name
Provider ID
P000002660
NPI
1740243534
Tax ID
631102774
Effective Date
4/15/2002
Last Updated
6/16/2014
Direct Contract
Yes
Term Date
6/16/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_015
Location Details
Address
1007 Goodyear Avenue
Gadsden, AL 35903
United States
County
Etowah
Phone
2562090803 (Phone)
Billing Details
Address
P.O. Box 404799
Atlanta, GA 30384
Billing Phone
2564944000
Specialty Type
Neurology
Map
Address