Daniel    Mirelman    MD
Contract Details
Birmingham Surgical
Facility name
Provider ID
P000001170
NPI
1306805825
Tax ID
630677675
Effective Date
12/15/2006
Last Updated
3/26/2014
Direct Contract
Yes
Term Date
3/26/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2022 Brookwood Medical Center Drive Suite 313
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058772910 (Phone)
Billing Details
Address
2022 Brookwood Medical Center Drive
Suite 313
Birmingham, AL 35209
Billing Phone
2058772910
Specialty Type
Surgery, General
Map
Address