Contract Details
Facility name
O'Brien Plastic Surgery
Provider ID
P000007726
Tax ID
631117324
Effective Date
7/15/1995
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2022 Brookwood Medical Center Drive Suite 210
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058792160 (Phone)
Billing Details
Address
2022 Brookwood Medical Center Drive
Suite 210
Birmingham, AL 35209
Billing Phone
2058792160
Specialty Type
General Practice
Map
Address