Contract Details
Andrew M. DeWitt, MD, PC
Facility name
Dr. Andrew DeWitt
Provider ID
P000009056
NPI
1063511079
Tax ID
631273701
Effective Date
1/22/2018
Last Updated
1/25/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
833 Princeton Avenue SW Suite 200C
Birmingham, AL 35211
United States
County
Jefferson
Phone
2055024400 (Phone)
Billing Details
Address
833 Princeton Avenue SW
Suite 200C
Birmingham, AL 35211
Billing Phone
2055024400
Specialty Type
Surgery, General
Map
Address