Leander  M  Grimm  Jr  MD
Contract Details
USA Health System
Facility name
Provider ID
P000007314
NPI
1720281819
Tax ID
630725648
Effective Date
9/25/2005
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2451 Fillingim Street Suite 101
Mobile, AL 36617
United States
County
Mobile
Phone
2514458282 (Phone)
Billing Details
Address
P.O. Box 40480
Mobile, AL 36604
Billing Phone
2514458282
Specialty Type
Surgery, Colon & Rectal
Map
Address