Timothy  B  Tabor    MD
Contract Details
Physician's Open MRI
Facility name
Provider ID
P000007305
NPI
1295741866
Tax ID
200152835
Effective Date
2/22/2012
Last Updated
7/3/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_134
Location Details
Address
620 Quintard Drive
Oxford, AL 36203
United States
County
Calhoun
Phone
2568358180 (Phone)
Billing Details
Address
P.O. Box 117
Cullman, AL 35056
Billing Phone
2568358180
Specialty Type
Radiology, Diagnostic
Map
Address