Melanie  L  Petro    MD
Contract Details
Alabama Vascular & Vein Center
Facility name
Provider ID
P000007731
NPI
1477745024
Tax ID
010640132
Effective Date
4/1/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
700 Montgomery Highway Suite 210
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058230151 (Phone)
Billing Details
Address
700 Montgomery Highway
Suite 210
Birmingham, AL 35216
Billing Phone
2058230151
Specialty Type
Surgery, Plastic
Map
Address