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Robert
P
Eichelberger
MD
Contract Details
Open MRI of Decatur
Facility name
Provider ID
P000000477
NPI
1427030642
Tax ID
631207586
Effective Date
6/1/1999
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1201 13th Avenue Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
2563507779
(
Phone
)
Billing Details
Address
1201 13th Avenue Southeast
Decatur, AL 35601
Billing Phone
2563507779
Specialty Type
Radiology, Diagnostic
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Address