Harrison    Irons    MD
Contract Details
Comprehensive Pain Services of Alabama
Facility name
Provider ID
P000009182
Tax ID
621825612
Effective Date
6/6/2018
Last Updated
11/2/2018
Direct Contract
Yes
Term Date
9/30/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
513 Brookwood Blvd. Building D, Suite 260
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058008766 (Phone)
Billing Details
Address
513 Brookwood Blvd.
Building D, Suite 260
Birmingham, AL 35209
Billing Phone
Specialty Type
Pain Management
Map
Address