John  H  Campbell    MD
Contract Details
Wound Care & Hyperbaric Center
Facility name
Provider ID
P000008215
NPI
1992762041
Tax ID
208176400
Effective Date
10/15/1999
Last Updated
4/6/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2013 Rainbow Drive
Gadsden, AL 35901
United States
County
Etowah
Phone
2565466038 (Phone)
Billing Details
Address
2013 Rainbow Drive
Gadsden, AL 35901
Billing Phone
2565466038
Specialty Type
Wound Care
Map
Address