Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
DeShan
S
Gross
DC
Contract Details
Central Alabama Spine Center
Facility name
Provider ID
P000000661
NPI
1972652865
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