Hisham    Hakim    MD
Contract Details
Greystone Neurology and Pain Centers, Inc.
Facility name
Provider ID
P000000680
NPI
1891887535
Tax ID
810868581
Effective Date
2/8/2017
Last Updated
12/13/2017
Direct Contract
Yes
Term Date
11/30/2017
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
7500 Hugh Daniel Drive Suite 250
Birmingham, AL 35242
United States
County
Shelby
Phone
2059913300 (Phone)
Billing Details
Address
P.O. Box 382135
Birmingham, AL 35238
Billing Phone
2059913300
Specialty Type
Neurology
Map
Address