Contract Details
Facility name
Retina Specialists of North Alabama
Provider ID
P000007346
NPI
1194760652
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
401 Meridian Street Suite 400
Huntsville, AL 35801
United States
County
Madison
Phone
2565398851 (Phone)
Billing Details
Address
P.O. Box 830529
Birmingham, AL 35283
Billing Phone
2565398851
Specialty Type
Ophthalmology
Map
Address