Marvin  K  Vickers  III  DC
Contract Details
Vickers Chiropractic
Facility name
Provider ID
P000001794
NPI
1639227481
Tax ID
631231832
Effective Date
3/1/2000
Last Updated
4/16/2015
Direct Contract
Yes
Term Date
4/16/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3940 Grants Mill Road
Irondale, AL 35210
United States
County
Jefferson
Phone
2059512204 (Phone)
Billing Details
Address
3940 Grants Mill Road
Irondale, AL 35210
Billing Phone
2059512204
Specialty Type
Chiropractic Medicine
Map
Address