Leigh Ransonet    Henderson    MD
Contract Details
Riverview Physical Medicine
Facility name
Provider ID
P000000742
Tax ID
205241688
Effective Date
10/15/1999
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_041
Location Details
Address
200 West Meighan Boulevard Suite E
Gadsden, AL 35901
United States
County
Etowah
Phone
2565476522 (Phone)
Billing Details
Address
P.O. Box 268
Gadsden, AL 35901
Specialty Type
Physical Medicine & Rehabilitation
Map
Address