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Norman
A
Garrison
Jr
MD
Contract Details
Family & Industrial Health Services, Inc.
Facility name
Provider ID
P000000598
NPI
1457380925
Tax ID
731655276
Effective Date
12/3/2018
Last Updated
12/3/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
4725 Mobile Highway
Montgomery, AL 36108
United States
County
Montgomery
Phone
3342813665
(
Phone
)
Billing Details
Address
P.O. Box 241487
Montgomery, AL 36124
Billing Phone
3342813665
Specialty Type
Emergency Medicine
Map
Address