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David
Wilhoite
RPT
Contract Details
Southern Physical Rehab Network
Facility name
Provider ID
P000007439
NPI
1114982667
Tax ID
631109638
Effective Date
8/28/1995
Last Updated
6/9/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
Wilhoite & Associates 651 Snow Street
Oxford, AL 36203
United States
County
Calhoun
Phone
2562417500
(
Phone
)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
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Address