Contract Details
Southern Pain Specialists, P.C.
Facility name
Southern Pain Specialists
Provider ID
P000009405
NPI
1174697106
Tax ID
721395779
Effective Date
9/20/2019
Last Updated
9/24/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7500 Hugh Daniel Drive Suite 360
Birmingham, AL 35242
United States
County
Shelby
Phone
2059959967 (Phone)
Billing Details
Address
7500 Hugh Daniel Drive
Suite 360
Birmingham, AL 35242
Billing Phone
2059959967
Specialty Type
Pain Management Facility
Map
Address