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Harold
L
Franks
MD
Contract Details
Cullman Primary Care, P.C.
Facility name
Provider ID
P000002647
NPI
1427044932
Tax ID
631165851
Effective Date
9/28/2011
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1406 Wall Street Northeast
Cullman, AL 35055
United States
County
Cullman
Phone
2567362856
(
Phone
)
Billing Details
Address
503 Clark Street Northeast
Cullman, AL 35055
Billing Phone
2567394131
Specialty Type
Internal Medicine
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Address