Nancy  E  Medeiros    MD
Contract Details
Retina Specialists of North Alabama
Facility name
Provider ID
P000001137
NPI
1427086404
Tax ID
631248340
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1238 13th Avenue Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
2562600201 (Phone)
Billing Details
Address
P.O. Box 830529
Birmingham, AL 35283
Billing Phone
2565398851
Specialty Type
Ophthalmology
Map
Address