Philip Colburn    Maher    MD
Contract Details
Neurosurgical Associates
Facility name
Provider ID
P000002670
NPI
1831286863
Tax ID
630576431
Effective Date
3/9/1992
Last Updated
11/18/2016
Direct Contract
Yes
Term Date
11/18/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1948 Highway 157 Building 1, Suite 430
Cullman, AL 35055
United States
County
Cullman
Phone
2567372540 (Phone)
Billing Details
Address
800 Saint Vincent's Drive
Suite 700
Birmingham, AL 35205
Billing Phone
2059338981
Specialty Type
Surgery, Neurological
Map
Address