Contract Details
Facility name
Neurosurgery & Spine Associates of Central Alabama
Provider ID
P000002275
NPI
1952418303
Tax ID
630821827
Effective Date
6/1/2002
Last Updated
10/6/2014
Direct Contract
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2065 East South Boulevard Suite 204
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342816990 (Phone)
Billing Details
Address
2065 East South Boulevard
Suite 204
Montgomery, AL 36116
Billing Phone
Specialty Type
Surgery, Neurological
Map
Address