Brandon    Moore    DO
Contract Details
Affinity Physician Services
Facility name
Provider ID
P000000001
NPI
1194189357
Tax ID
203391830
Effective Date
11/11/2013
Last Updated
10/13/2020
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
5890 Valley Road Suite 200
Birmingham, AL 35235
United States
Phone
205-655-7600 (Phone)
Billing Details
Address
5890 Valley Road
Suite 200
Birmingham, AL 35235
Billing Phone
205-655-7600
Specialty Type
Internal Medicine
Website
Visit Website
Map
Address