James  W  Meckes    MD
Contract Details
Surgical Associates of The Shoals
Facility name
Provider ID
P000001136
NPI
1508831215
Tax ID
630962367
Effective Date
12/8/1994
Last Updated
8/14/2013
Direct Contract
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
Shoals Professional Building 203 Avalon Avenue, Suite 290
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563861125 (Phone)
Billing Details
Address
Specialty Type
Surgery, General
Map
Address