Contract Details
Facility name
Retina Specialists of North Alabama
Provider ID
P000007345
NPI
1184839268
Tax ID
631248340
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
216 South Marengo Street
Florence, AL 35630
United States
County
Lauderdale
Phone
2567400601 (Phone)
Billing Details
Address
P.O. Box 830529
Birmingham, AL 35283
Billing Phone
2567400601
Specialty Type
Ophthalmology
Map
Address