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Richard
V
Meadows
DO
Contract Details
Family Practice Center
Facility name
Provider ID
P000001133
NPI
1902888407
Tax ID
630848014
Effective Date
1/14/1993
Last Updated
6/3/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
217 Dothan Road
Abbeville, AL 36310
United States
County
Henry
Phone
3345856421
(
Phone
)
Billing Details
Address
217 Dothan Road
Abbeville, AL 36310
Billing Phone
3345856421
Specialty Type
Family Practice
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Address