Alan  D  Prince    MD
Contract Details
ADIN Healthcare, Inc.
Facility name
Provider ID
P000006862
NPI
1376593681
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
10/13/2015
Direct Contract
Yes
Term Date
10/13/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
702 North Main Street
Opp, AL 36467
United States
County
Covington
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Neurology
Map
Address