Karen    Stone    MD
Contract Details
Wedowee Rural Health Clinic
Facility name
Provider ID
P000001678
NPI
1730102369
Tax ID
203847589
Effective Date
11/1/2006
Last Updated
8/7/2014
Direct Contract
Yes
Term Date
8/7/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_057
Location Details
Address
108 Woodland Avenue East
Wedowee, AL 36278
United States
County
Randolph
Phone
2563572188 (Phone)
Billing Details
Address
108 Woodland Avenue East
Wedowee, AL 36278
Billing Phone
2563572188
Specialty Type
Family Practice
Map
Address