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Kristopher
N
Jones
MD
Contract Details
WorkWell Occupational Health Center
Facility name
Provider ID
P000003572
NPI
1750342556
Tax ID
204756525
Effective Date
7/25/2012
Last Updated
5/29/2014
Direct Contract
Yes
Term Date
1/31/2014
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
7736 Madison Boulevard
Huntsville, AL 35806
United States
County
Madison
Phone
2568308930
(
Phone
)
Billing Details
Address
7736 Madison Boulevard
Huntsville, AL 35806
Billing Phone
2568308930
Specialty Type
Family Practice
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Address