Keith  C  Anderson    DO
Contract Details
The Spine & Neuro Center
Facility name
Provider ID
P000000039
NPI
1982763165
Tax ID
630572198
Effective Date
1/14/2002
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
5/7/2017
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive 1st Floor
Huntsville, AL 35801
United States
County
Madison
Phone
2565331600 (Phone)
Billing Details
Address
201 Governors Drive
Huntsville, AL 35801
Billing Phone
2565331600
Specialty Type
Physical Medicine & Rehabilitation
Map
Address