L. Douglas    Alford  Jr  MD
Contract Details
Norwood Clinic--Fultondale Internal Medicine
Facility name
Provider ID
P000008224
NPI
1386699627
Tax ID
630715625
Effective Date
8/1/1994
Last Updated
4/17/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1604 Stouts Road
Fultondale, AL 35068
United States
County
Jefferson
Phone
2058499811 (Phone)
Billing Details
Address
P.O. Box 830230
Birmingham, AL 35283
Billing Phone
8002726481
Specialty Type
Internal Medicine
Map
Address