George  M  Gibbins    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000610
NPI
1861591596
Tax ID
631163211
Effective Date
3/1/1999
Last Updated
6/10/2014
Direct Contract
Yes
Term Date
11/21/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1029 Christine Avenue
Anniston, AL 36207
United States
County
Calhoun
Phone
2562370371 (Phone)
Billing Details
Address
P.O. Box 970
Anniston, AL 36202
Billing Phone
2562370371
Specialty Type
Ophthalmology
Map
Address