David  P  McKinley  Sr  MD
Contract Details
Avalon Surgical
Facility name
Provider ID
P000001117
NPI
1043335151
Tax ID
630789637
Effective Date
11/9/1994
Last Updated
9/26/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1120 South Jackson Highway Suite 307
Sheffield, AL 35660
United States
County
Colbert
Phone
2563810030 (Phone)
Billing Details
Address
Specialty Type
Surgery, General
Map
Address