Scott  B  Thompson    MD
Contract Details
Cullman Open MRI
Facility name
Provider ID
P000007045
NPI
1346421369
Tax ID
630587021
Effective Date
5/9/2017
Last Updated
5/10/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_313
Location Details
Address
1809 Dahlke Drive
Cullman, AL 35058
United States
County
Cullman
Phone
2562556737 (Phone)
Billing Details
Address
P.O. Box 2514
Birmingham, AL 35201
Billing Phone
2058714274
Specialty Type
Radiology, Diagnostic
Map
Address