Richard  M  Champion    MD
Contract Details
Norwood Clinic
Facility name
Provider ID
P000008225
NPI
1568416469
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
2022 Brookwood Medical Center Drive Suite 510
Birmingham, AL 35209
United States
County
Jefferson
Phone
2052508910 (Phone)
Billing Details
Address
P.O. Box 830230
Birmingham, AL 35283
Billing Phone
8002726481
Specialty Type
Wound Care
Map
Address