Dallas  M  Russell    MD
Contract Details
Drs. Hudgens, Swillie, Russell, & Strong, P.C.
Facility name
Provider ID
P000001517
NPI
1609879253
Tax ID
630956181
Effective Date
9/14/1993
Last Updated
11/19/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3686 Grandview Parkway Suite 600
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059713600 (Phone)
Billing Details
Address
3686 Grandview Parkway
Suite 600
Birmingham, AL 35243
Billing Phone
2059713600
Specialty Type
Neurology
Map
Address