John    Long    MD
Contract Details
Alabama Ophthalmology Associates
Facility name
Provider ID
P000008614
NPI
1861495384
Tax ID
630772886
Effective Date
3/14/2017
Last Updated
3/28/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1000 19th Street S
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059300700 (Phone)
Billing Details
Address
1000 19th Street S
Birmingham, AL 35205
Billing Phone
2059300700
Specialty Type
Ophthalmology
Map
Address