William    Braswell    MD
Contract Details
Cahaba Valley Surgical Group
Facility name
Provider ID
P000000001
NPI
1487725222
Tax ID
631132437
Effective Date
5/25/2022
Last Updated
5/26/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
644 2nd Street NE Suite 206
Alabaster, AL 35007
United States
Phone
205-620-9065 (Phone)
Billing Details
Address
644 2nd Street NE
Suite 206
Alabaster, AL 35007
Billing Phone
205-620-9065
Specialty Type
Surgery, General
Website
Visit Website
Map
Address