Michael    Johnson    MD
Contract Details
University of Alabama Health Searvices Foundation, P.C.
Facility name
Provider ID
P000009305
NPI
1225230758
Tax ID
630649108
Effective Date
1/1/2005
Last Updated
1/31/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2000 6th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059349999 (Phone)
Billing Details
Address
P.O. Box 55309
Birmingham, AL 35255
Billing Phone
2059349999
Specialty Type
Surgery, Orthopedic
Map
Address