John  A  Watkins    MD
Contract Details
Trinity Medical Clinics at Irondale
Facility name
Provider ID
P000007579
NPI
1528081353
Tax ID
203391830
Effective Date
11/11/2013
Last Updated
9/29/2016
Direct Contract
Yes
Term Date
9/22/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
2000 Crestwood Boulevard Suite 200
Birmingham, AL 35210
United States
County
Jefferson
Phone
2058560672 (Phone)
Billing Details
Address
840 Montclair Road
Suite 627
Birmingham, AL 35213
Billing Phone
2059560672
Specialty Type
Internal Medicine
Map
Address