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Brent
Newell
MD
Contract Details
Huntsville Hospital Spine and Neuro Center
Facility name
Provider ID
P000008696
NPI
1750392494
Tax ID
812146883
Effective Date
5/8/2017
Last Updated
5/10/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive SW Floor 1
Huntsville, AL 35801
United States
County
Madison
Phone
2565331600
(
Phone
)
Billing Details
Address
201 Governors Drive SW
Floor 1
Huntsville, AL 35801
Billing Phone
2565331600
Specialty Type
Physical Medicine & Rehabilitation
Map
Address