Nolan    Williams    RPT
Contract Details
TherapySouth--Hueytown
Facility name
Provider ID
P000007544
NPI
1528390325
Tax ID
463871431
Effective Date
2/15/2012
Last Updated
11/6/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3004 Allison Bonnett Memorial Drive
Hueytown, AL 35023
United States
County
Jefferson
Phone
2057449993 (Phone)
Billing Details
Address
3004 Allison Bonnett Memorial Drive
Hueytown, AL 35023
Billing Phone
2057449993
Specialty Type
Physical Therapy
Map
Address