Walter  J  Paschall    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000001326
NPI
1588716302
Tax ID
630858777
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/5/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
429 South 3rd Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565478634 (Phone)
Billing Details
Address
P.O. Box 8567
Gadsden, AL 35902
Billing Phone
Specialty Type
Ophthalmology
Map
Address