Contract Details
ChiroPlus of Alabama
Facility name
Coosa Valley Chiropractic Center
Provider ID
P000002063
NPI
1124324306
Tax ID
631044340
Effective Date
6/1/2002
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
11 Western Avenue
Sylacauga, AL 35150
United States
County
Talladega
Phone
2562450404 (Phone)
Billing Details
Address
11 Western Avenue
Sylacauga, AL 35150
Billing Phone
2562450404
Specialty Type
Chiropractic Medicine
Map
Address