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Anitra
D
Batie
MD
Contract Details
Walker Family Practice
Facility name
Provider ID
P000000095
NPI
1316988199
Tax ID
631232417
Effective Date
1/1/1996
Last Updated
11/21/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
124 North Walston Bridge Rd
Jasper, AL 35504
United States
County
Walker
Phone
2052211755
(
Phone
)
Billing Details
Address
Specialty Type
Family Practice
Map
Address