Mark  S  Kovacik    MD
Contract Details
Norwood Clinic
Facility name
Provider ID
P000008231
NPI
1275552606
Tax ID
630715625
Effective Date
8/1/1994
Last Updated
7/5/2019
Direct Contract
Yes
Term Date
7/3/2019
Status
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
2052506940 (Phone)
Billing Details
Address
P.O. Box 830230
Birmingham, AL 35283
Billing Phone
8002726481
Specialty Type
Neurology
Map
Address