William  H  Beekley    MD
Contract Details
Facility name
Provider ID
P000000110
NPI
1912909771
Tax ID
232084684
Effective Date
5/15/2004
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2525 Highway 431 Suite 170
Boaz, AL 35957
United States
County
Marshall
Phone
2565936656 (Phone)
Billing Details
Address
P.O. Box 854
Boaz, AL 35957
Billing Phone
2568915102
Specialty Type
Surgery, General
Map
Address