Jane    Pearson    MD
Contract Details
Fast360, LLC
Facility name
Provider ID
P000008357
NPI
1275737876
Tax ID
460926698
Effective Date
1/1/2017
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_312
Location Details
Address
2660 10th Avenue South Suite 520-A
Birmingham, AL 35205
United States
County
Jefferson
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Neurology
Map
Address