Contract Details
Facility name
Retina Specialists of Alabama
Provider ID
P000007352
NPI
1437194867
Tax ID
631248335
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1201 11th Avenue South Suite 300
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059332625 (Phone)
Billing Details
Address
P.O. Box 830674
Birmingham, AL 35283
Billing Phone
2059332625
Specialty Type
Ophthalmology
Map
Address