David     Thomason    MD
Contract Details
Restoration Health of South Alabama
Facility name
Provider ID
P000000001
NPI
1770878373
Tax ID
821803192
Effective Date
4/15/2020
Last Updated
4/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
30762 State Highway 181
Spanish Fort, AL 36527
United States
Phone
251-626-0732 (Phone)
Billing Details
Address
30762 State Highway 181
Spanish Fort, AL 36527
Billing Phone
251-626-0732
Specialty Type
Physical Medicine & Rehabilitation
Map
Address