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
1/8/2016
Direct Contract
Yes
Term Date
1/8/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
806 Glover Avenue Suite B
Enterprise, AL 36330
United States
County
Coffee
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Neurology
Map
Address