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Wesley
L
Spruill
MD
Contract Details
The SpineCare Center
Facility name
Provider ID
P000007444
NPI
1184618969
Tax ID
631215316
Effective Date
7/1/1999
Last Updated
12/12/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1050 Ruby Tyler Parkway
Tuscaloosa, AL 35404
United States
County
Tuscaloosa
Phone
2057597246
(
Phone
)
Billing Details
Address
1050 Ruby Tyler Parkway
Tuscaloosa, AL 35404
Billing Phone
2057597246
Specialty Type
Pain Management
Map
Address