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Stephen
M
Foster
RPT
Contract Details
TherapySouth--Birmingham-Greystone
Facility name
Provider ID
P000000561
NPI
1073626206
Tax ID
205395626
Effective Date
2/15/2012
Last Updated
11/6/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2807 Greystone Commercial Boulevard
Birmingham, AL 35242
United States
County
Shelby
Phone
2054081713
(
Phone
)
Billing Details
Address
2807 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
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