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
12/12/2017
Last Updated
7/25/2018
Direct Contract
Yes
Term Date
7/23/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_349
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
Neurology
Map
Address