Christopher  J  Green    MD
Contract Details
Open MRI of Scottsboro
Facility name
Provider ID
P000002651
NPI
1053526988
Tax ID
861147392
Effective Date
11/2/2011
Last Updated
2/26/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_106
Location Details
Address
305 Parks Avenue
Scottsboro, AL 35768
United States
County
Jackson
Phone
2565746774 (Phone)
Billing Details
Address
Specialty Type
Radiology, Diagnostic
Map
Address