Scott  A  Sabo   
Contract Details
Facility name
Provider ID
P000000001
NPI
1699187039
Tax ID
465375087
Effective Date
3/24/2020
Last Updated
3/26/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
513 Brookwood Blvd. Suite 310
Birmingham, AL 35209
United States
Phone
2059749780 (Phone)
Billing Details
Address
513 Brookwood Blvd.
Suite 310
Birmingham, AL 35209
Billing Phone
2059749780
Specialty Type
Surgery, General
Website
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