Jeffrey  K  Eng    MD
Contract Details
Facility name
Provider ID
P000000500
NPI
1497852453
Tax ID
097526954
Effective Date
8/1/1999
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
4465 Narrow Lane Road
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342847827 (Phone)
Billing Details
Address
4465 Narrow Lane Road
Montgomery, AL 36116
Billing Phone
Specialty Type
Physical Medicine & Rehabilitation
Map
Address