Michael    Cosgrove    MD
Contract Details
Tennessee Valley Pain Consultants
Facility name
Provider ID
P000000001
NPI
1750459616
Tax ID
810800977
Effective Date
9/1/2022
Last Updated
9/22/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
201 Governors Drive Suite 400
Huntsville, AL 35801
United States
Phone
256-265-7246 (Phone)
Billing Details
Address
101 Sivley Road Southwest
Huntsville, AL 35801
Billing Phone
256-533-7064
Specialty Type
Anesthesiology
Website
Visit Website
Map
Address