Timothy    Prestley    MD
Contract Details
University TMS
Facility name
Provider ID
P000000001
NPI
1548421803
Tax ID
851925206
Effective Date
8/12/2020
Last Updated
8/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
100 Rice Mine Road
Tuscaloosa, AL 35406
United States
Phone
205-523-5618 (Phone)
Billing Details
Address
100 Rice Mine Road
Tuscaloosa, AL 35406
Billing Phone
205-523-5618
Specialty Type
Psychiatry
Map
Address