Jeffrey    Love    MD
Contract Details
Brookwood Occupational Health Clinic
Facility name
Provider ID
P000009354
NPI
1457724346
Tax ID
474758110
Effective Date
1/1/2000
Last Updated
6/3/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
110 Oxmoor Court
Homewood, AL 35209
United States
County
Jefferson
Phone
2059450773 (Phone)
Billing Details
Address
110 Oxmoor Court
Homewood, AL 35209
Billing Phone
2059450773
Specialty Type
Occupational Medicine
Map
Address