John  B  Cox    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000357
NPI
1477572063
Tax ID
630771964
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
333 Whitesport Drive Southwest Suite 101
Huntsville, AL 35801
United States
County
Madison
Phone
2568800667 (Phone)
Billing Details
Address
333 Whitesport Drive Southwest
Suite 101
Huntsville, AL 35801
Billing Phone
2568800667
Specialty Type
Ophthalmology
Map
Address