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Ramona
Hawkins
CRNP
Contract Details
Family Medical Associates
Facility name
Provider ID
P000000729
NPI
1700193687
Tax ID
631120198
Effective Date
1/1/1995
Last Updated
3/27/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
42320 Highway 195
Haleyville, AL 35565
United States
County
Winston
Phone
2054868899
(
Phone
)
Billing Details
Address
Specialty Type
Nurse Practitioner
Map
Address