Kenneth    Varley    MD
Contract Details
Southern Pain Specialists
Facility name
Provider ID
P000009406
NPI
1043380900
Tax ID
721395779
Effective Date
9/20/2019
Last Updated
9/24/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7500 Hugh Daniel Drive
Birmingham, AL 35242
United States
County
Shelby
Phone
2059959967 (Phone)
Billing Details
Address
7500 Hugh Daniel Drive
Birmingham, AL 35242
Billing Phone
2059959967
Specialty Type
Pain Management
Map
Address