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John
M
James
MD
Contract Details
PriCare
Facility name
Provider ID
P000000834
NPI
1811907579
Tax ID
630685246
Effective Date
11/15/2002
Last Updated
6/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
44 Aliant Parkway
Alexander City, AL 35010
United States
County
Tallapoosa
Phone
2562344131
(
Phone
)
Billing Details
Address
P.O. Box 789
Alexander City, AL 35011
Billing Phone
2562344131
Specialty Type
Family Practice
Map
Address