Michael    Smith    MD
Contract Details
Alabama Back Institute
Facility name
Provider ID
P000000001
NPI
1306829155
Tax ID
922164113
Effective Date
4/1/2024
Last Updated
9/3/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
87 19th Street W
Jasper, AL 35501
United States
Phone
205-221-3606 (Phone)
Billing Details
Address
87 19th Street W
Suite 300
Jasper, AL 35501
Billing Phone
205-221-3606
Specialty Type
Radiology, Diagnostic
Map
Address