C Renee    Philpot-Bowen    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001360
NPI
1831132307
Tax ID
630911516
Effective Date
11/25/1998
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
405 Airport Road North
Jasper, AL 35504
United States
County
Walker
Phone
2052213196 (Phone)
Billing Details
Address
405 Airport Road North
Jasper, AL 35504
Billing Phone
2052213196
Specialty Type
Chiropractic Medicine
Map
Address