Wayne  P  Hyatt  Jr  MD
Contract Details
Eastern Medical Eye Center
Facility name
Provider ID
P000000817
NPI
1548261498
Tax ID
721384996
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/7/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
150 Gilbreath Drive Suite 103
Oneonta, AL 35121
United States
County
Blount
Phone
2056253670 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 211
Birmingham, AL 35235
Billing Phone
2058383696
Specialty Type
Ophthalmology
Map
Address