Samuel  R  Bowen  II  MD
Contract Details
Birmingham Neurosurgery & Spine Group--Oneonta
Facility name
Provider ID
P000000179
NPI
1790734226
Tax ID
631034033
Effective Date
9/15/2007
Last Updated
4/16/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
150 Gilbreath Drive Suite 101
Oneonta, AL 35121
United States
County
Blount
Phone
2059865200 (Phone)
Billing Details
Address
3125 Independence Drive
Suite 200
Birmingham, AL 35209
Billing Phone
2059865200
Specialty Type
Surgery, Neurological
Map
Address