Warren  A  Thompson    MD
Contract Details
Retina Associates of Alabama
Facility name
Provider ID
P000007354
NPI
1962484790
Tax ID
202354132
Effective Date
6/1/2006
Last Updated
7/22/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
160 Healthwest Drive
Dothan, AL 36303
United States
County
Houston
Phone
3347121700 (Phone)
Billing Details
Address
P.O. Box 8008
Dothan, AL 36304
Billing Phone
3347121700
Specialty Type
Ophthalmology
Map
Address