Michael    Cloyd    MD
Contract Details
St. Vincent's Occupational Health Clinic
Facility name
Provider ID
P000000001
NPI
1497841472
Tax ID
631129096
Effective Date
11/20/2023
Last Updated
11/29/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_526
Location Details
Address
1944 28th Avenue South
Homewood, AL 35209
United States
Phone
205-930-2600 (Phone)
Billing Details
Address
1944 28th Avenue South
Homewood, AL 35209
Billing Phone
Specialty Type
Occupational Medicine
Map
Address