Marc    Manix    MD
Contract Details
Neurosurgery Specialists
Facility name
Provider ID
P000000001
NPI
1861719817
Tax ID
834257679
Effective Date
1/21/2022
Last Updated
1/7/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6701 Airport Boulevard Suite A-203
Mobile, AL 36608
United States
Phone
251-665-8290 (Phone)
Billing Details
Address
6701 Airport Boulevard
Suite A-203
Mobile, AL 36608
Billing Phone
251-665-8290
Specialty Type
Surgery, Neurological
Website
Visit Website
Map
Address