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Luis
F
Franco
MD
Contract Details
Greystone Neurology and Pain Centers, Inc.
Facility name
Provider ID
P000008568
NPI
1790799401
Tax ID
810868581
Effective Date
12/12/2017
Last Updated
7/25/2018
Direct Contract
Yes
Term Date
7/23/2018
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_349
AM_349
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
Pain Management
Map
Address