Craig  A  Mix    DC
Contract Details
Discover Chiropractic
Facility name
Provider ID
P000001175
NPI
1023118551
Tax ID
631252330
Effective Date
5/5/2004
Last Updated
5/22/2014
Direct Contract
Yes
Term Date
5/22/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1423 Gadsden Highway
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056616600 (Phone)
Billing Details
Address
1423 Gadsden Highway
Birmingham, AL 35235
Billing Phone
2056616600
Specialty Type
Chiropractic Medicine
Map
Address