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Contract Details
Greystone Neurology and Pain Centers, Inc.
Facility name
Greystone Neurology and Pain Centers, Inc.
Provider ID
P000008565
NPI
1578920625
Tax ID
810868581
Effective Date
2/8/2017
Last Updated
12/13/2017
Direct Contract
Yes
Term Date
12/11/2017
Status
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
7500 Hugh Daniel Drive Suite 250
Birmingham, AL 35242
United States
County
Shelby
Phone
2059913300
(
Phone
)
Billing Details
Address
P.O. Box 382135
Birmingham, AL 35238
Billing Phone
2059913300
Specialty Type
Pain Management Facility
Map
Address