MEDICARE: MEDITEK/GREYSTONE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	470000666	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51032977	OTHER	AL	BCBS - FACILITY ID NUMBER
2	1023040409	OTHER	AL	N. MELINDA BERGQUIST, MD
3	1124000344	OTHER	AL	RUTH SNOW, MD
4	51116979	OTHER	AL	JAMES SPANN, M.D. - BCBS ID #
5	1427030642	OTHER	AL	ROBERT EICHELBERGER, MD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1235111451	OTHER	AL	CECIL EILAND, MD
8	1306051164	OTHER	AL	JAMES SPANN, M.D. - NPI #

General Provider Information

NPI Number	:	1952372930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDITEK/GREYSTONE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 931080
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-1080
Country	:	US
Telephone Number	:	205-995-9899
Fax Number	:	205-995-1255

Provider Business Practice Location Address
First Line	:	7500 HUGH DANIEL DR
Second Line	:	SUITE 150
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7148
Country	:	US
Telephone Number	:	205-995-4900
Fax Number	:	205-995-0203

Authorized Official
Title or Position	:	DIRECTOR OF BILLING
Name	:	TRACI BROWN
Credential	:
Telephone Number	:	706-256-3450

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	10/28/2020

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Directions to “MEDITEK/GREYSTONE, INC. ” Practice Location

Language	Start Address	Practice Location

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