Mary  E  Barry    CRNP
Contract Details
Bailey Cove Family Practice
Facility name
Provider ID
P000008451
NPI
1104894963
Tax ID
273920921
Effective Date
5/18/2016
Last Updated
5/25/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
10300 Bailey Cove Road Suite 14
Huntsville, AL 35803
United States
County
Madison
Phone
2564295248 (Phone)
Billing Details
Address
P.O. Box 689022
Franklin, TN 37068
Billing Phone
6154657000
Specialty Type
Nurse Practitioner
Map
Address