Wilfred  W  Yeargan  Jr  MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000001913
NPI
1376531152
Tax ID
630578048
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
1030 Fairfax Park
Tuscaloosa, AL 35406
United States
County
Tuscaloosa
Phone
2057521584 (Phone)
Billing Details
Address
1030 Fairfax Park
Tuscaloosa, AL 35406
Billing Phone
2057521584
Specialty Type
Ophthalmology
Map
Address