James  F  Gauthier    MD
Contract Details
Occupational Health Group--Madison
Facility name
Provider ID
P000000602
NPI
1477602365
Tax ID
260811369
Effective Date
10/1/2000
Last Updated
9/2/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_252
Location Details
Address
9238 Madison Boulevard Building 1, Suite 200
Madison, AL 35758
United States
County
Madison
Phone
2562653285 (Phone)
Billing Details
Address
P.O. Box 7187
Huntsville, AL 35807
Billing Phone
2562657000
Specialty Type
Occupational Medicine
Map
Address