Michael  A  Callahan    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000245
NPI
1902892151
Tax ID
630906950
Effective Date
3/1/1999
Last Updated
4/14/2014
Direct Contract
Term Date
12/31/2002
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
700 18th Street South Suite 511
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059336888 (Phone)
Billing Details
Address
700 18th Street South
Suite 511
Birmingham, AL 35233
Billing Phone
Specialty Type
Ophthalmology
Map
Address