Maria  E  Bennett    MD
Contract Details
BHC Hoover Primary Care
Facility name
Provider ID
P000000121
NPI
1053375816
Tax ID
412214682
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5295 Preserve Parkway Suite 210
Birmingham, AL 35244
United States
County
Jefferson
Phone
2056826077 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2056826077
Specialty Type
Family Practice
Map
Address