Contract Details
Facility name
Retina Specialists of North Alabama
Provider ID
P000002373
Tax ID
631248340
Effective Date
10/1/2002
Last Updated
5/12/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
102 Micah Way Suite 1108
Scottsboro, AL 35768
United States
County
Jackson
Phone
2562594119 (Phone)
Billing Details
Address
P.O. Box 830529
Birmingham, AL 35283
Billing Phone
2565398851
Specialty Type
Ophthalmology
Map
Address