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Contract Details
Greystone Neurology and Pain Centers, Inc.
Facility name
Greystone Neurology and Pain Centers, Inc.
Provider ID
P000008567
NPI
1265970438
Tax ID
810868581
Effective Date
7/24/2018
Last Updated
7/25/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_390
AM_390
Location Details
Address
202 Medical Park
Talladega, AL 35160
United States
County
Talladega
Phone
2563627009
(
Phone
)
Billing Details
Address
P.O. Box 382135
Birmingham, AL 35238
Billing Phone
2059913300
Specialty Type
Pain Management Facility
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Address