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Joseph
F
White
MD
Contract Details
Family and Occupational Medicine
Facility name
Provider ID
P000001854
NPI
1417127275
Tax ID
251039396
Effective Date
6/10/1993
Last Updated
6/10/2014
Direct Contract
Yes
Term Date
5/10/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3320 Henry Road
Anniston, AL 36207
United States
County
Calhoun
Phone
2562366411
(
Phone
)
Billing Details
Address
P.O. Box 2669
Anniston, AL 36202
Billing Phone
2562360067
Specialty Type
Internal Medicine
Map
Address