Harold  F  Thomas    MD
Contract Details
Princeton Baptist Medical Center
Facility name
Provider ID
P000001730
NPI
1194818641
Tax ID
630925859
Effective Date
7/16/2018
Last Updated
10/29/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
817 Princeton Avenue Southwest POB II, Suite 300
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057837970 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2057837970
Specialty Type
Neurology
Map
Address