J Markus    Carter    DO
Contract Details
Facility name
Provider ID
P000000266
NPI
1659379733
Tax ID
621374727
Effective Date
8/5/1993
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
4/3/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
805 St. Vincent's Drive Suite 100
Birmingham, AL 35255
United States
County
Jefferson
Phone
2059393000 (Phone)
Billing Details
Address
P.O. Box 55487
Birmingham, AL 35255
Specialty Type
Physical Medicine & Rehabilitation
Map
Address