Jody  S  Gray    DC
Contract Details
Central Alabama Spine Center
Facility name
Provider ID
P000000646
NPI
1215086103
Tax ID
270312340
Effective Date
2/1/2004
Last Updated
9/11/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
52 Medical Park East Drive Suite 219
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056552277 (Phone)
Billing Details
Address
P.O. Box 1198
Trussville, AL 35173
Billing Phone
2056552277
Specialty Type
Chiropractic Medicine
Map
Address