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Bobby
G
Norwood
MD
Contract Details
Med Plus Muscle Shoals
Facility name
Provider ID
P000007442
NPI
1124004288
Tax ID
631129817
Effective Date
8/1/2013
Last Updated
9/4/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
108 West Avalon Avenue
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563899300
(
Phone
)
Billing Details
Address
108 West Avalon Avenue
Muscle Shoals, AL 35661
Billing Phone
2563899300
Specialty Type
Family Practice
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Address