James  A  Kimble    MD
Contract Details
Retina & Vitreous Associates of Alabama, P.C.
Facility name
Provider ID
P000000904
NPI
1285663732
Tax ID
631159547
Effective Date
10/25/1996
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
8/14/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
303 South Ripley Street Suite 5900
Montgomery, AL 36104
United States
County
Montgomery
Phone
3342630105 (Phone)
Billing Details
Address
P.O. Box 10992
Birmingham, AL 35202
Specialty Type
Ophthalmology
Map
Address