James  V  Thomas  III  MD
Contract Details
Alabama Specialty Clinic
Facility name
Provider ID
P000008529
NPI
1235175886
Tax ID
631189798
Effective Date
12/15/2016
Last Updated
5/19/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1908 Cherokee Ave. SW
Cullman, AL 35055
United States
County
Cullman
Phone
2567361460 (Phone)
Billing Details
Address
1098 Cherokee Ave. SW
Cullman, AL 35055
Billing Phone
2567361460
Specialty Type
Occupational Medicine
Map
Address