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George
L
Kirkpatrick
MD
Contract Details
IMC - Daphne
Facility name
Provider ID
P000000917
NPI
1457430753
Tax ID
721398998
Effective Date
9/1/1998
Last Updated
11/21/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
7101 Hwy 90 Suite 101
Daphne, AL 36526
United States
County
Baldwin
Phone
2516258222
(
Phone
)
Billing Details
Address
Specialty Type
Emergency Medicine
Map
Address