Gordon    Kirschberg    MD
Contract Details
Southern Neurology
Facility name
Provider ID
P000002665
Tax ID
630760539
Effective Date
5/1/1996
Last Updated
3/26/2014
Direct Contract
Yes
Term Date
9/10/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2018 Brookwood Medical Center Drive Suite 302
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058794200 (Phone)
Billing Details
Address
2018 Brookwood Medical Center Drive
Suite 302
Birmingham, AL 35209
Billing Phone
2058794200
Specialty Type
Neurology
Map
Address