Sandra  L  Durham    MD
Contract Details
The Comprehensive Pain Treatment Center
Facility name
Provider ID
P000000459
NPI
1487794301
Tax ID
631188503
Effective Date
2/1/1999
Last Updated
8/26/2014
Direct Contract
Yes
Term Date
5/2/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2700 10th Avenue South Suite 407
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059337777 (Phone)
Billing Details
Address
P.O. Box 36894
Birmingham, AL 35236
Billing Phone
2059337777
Specialty Type
Pain Medicine
Map
Address