Regina  P  Gilliland    MD
Contract Details
Springhill Physician Practices
Facility name
Provider ID
P000000615
NPI
1740218890
Tax ID
630967293
Effective Date
3/23/2011
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
9/9/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
3715 Dauphin Street Suite 7-B
Mobile, AL 36608
United States
County
Mobile
Phone
2514104030 (Phone)
Billing Details
Address
3715 Dauphin Street
Suite 503-B
Mobile, AL 36608
Billing Phone
Specialty Type
Physical Medicine & Rehabilitation
Map
Address