Contract Details
Greystone Neurology and Pain Centers, Inc.
Facility name
Greystone Neurology and Pain Centers, Inc.
Provider ID
P000008566
NPI
1336686286
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_350
Location Details
Address
234 N Broadway Ave
Sylacauga, AL 35150
United States
County
Talladega
Phone
2562495500 (Phone)
Billing Details
Address
P.O. Box 382135
Birmingham, AL 35238
Billing Phone
2059913300
Specialty Type
Neurology
Map
Address