Contract Details
Facility name
Brookwood Primary Care - Cahaba Heights
Provider ID
P000002595
NPI
1790975217
Tax ID
630574010
Effective Date
4/24/2002
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
3/17/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_058
Location Details
Address
4724 Cahaba Heights Court Suite 130
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059775575 (Phone)
Billing Details
Address
4724 Cahaba Heights Court
Suite 130
Birmingham, AL 35243
Billing Phone
2059775575
Specialty Type
Family Practice
Map
Address