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Christopher
G
Palmer
MD
Contract Details
Palmer Orthopaedics & Sports Medicine
Facility name
Provider ID
P000001311
NPI
1366434078
Tax ID
204370983
Effective Date
4/15/2006
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
6/9/2016
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
315 Medical Center Drive Southwest
Fort Payne, AL 35968
United States
County
De Kalb
Phone
2569979777
(
Phone
)
Billing Details
Address
200 Beacon Parkway West
Suite 330
Birmingham, AL 35209
Specialty Type
Surgery, Orthopedic
Map
Address