Contract Details
Facility name
Sheridan Anesthesia Services of Alabama
Provider ID
P000007417
NPI
1225379159
Tax ID
461476545
Effective Date
7/14/2014
Last Updated
7/25/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
101 Wallace Memorial Drive
Mobile, AL 36609
United States
County
Mobile
Phone
2513407953 (Phone)
Billing Details
Address
P.O. Box 744595
Atlanta, GA 303743835
Billing Phone
6154619037
Specialty Type
Anesthesiology
Map
Address