John  T  Wallace    DC
Contract Details
ChiroPlus of Alabama
Facility name
Provider ID
P000001813
NPI
1841359775
Tax ID
630754282
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
11/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3314 Highway 431
Albertville, AL 35950
United States
County
Marshall
Phone
2565939083 (Phone)
Billing Details
Address
3314 Highway 431
Albertville, AL 35950
Billing Phone
2565939083
Specialty Type
Chiropractic Medicine
Map
Address