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David
P
Bryant
MD
Contract Details
Pinson Medical Offices, P.A.
Facility name
Provider ID
P000000209
NPI
1447259528
Tax ID
630626691
Effective Date
12/16/1993
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4338 Main Street
Pinson, AL 35126
United States
County
Jefferson
Phone
2056817902
(
Phone
)
Billing Details
Address
P.O. Box 400
Pinson, AL 35126
Specialty Type
Family Practice
Map
Address