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Cheng
W
Tao
MD
Contract Details
Huntsville Hospital Spine and Neuro Center
Facility name
Provider ID
P000002691
NPI
1467453886
Tax ID
812146883
Effective Date
5/8/2017
Last Updated
5/10/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1215 7th Street SE, Suite G300 Medical Plaza 1
Decatur, AL 35601
United States
County
Morgan
Phone
2565331600
(
Phone
)
Billing Details
Address
1215 7th Street SE, Suite G300
Medical Plaza 1
Decatur, AL 35601
Billing Phone
2565331600
Specialty Type
Surgery, Neurological
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