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Charles
McGahey
MD
Contract Details
Express Med of Alabama
Facility name
Provider ID
P000001103
NPI
1881670370
Tax ID
811287045
Effective Date
4/30/2019
Last Updated
5/1/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
970 Cox Creek Parkway
Florence, AL 35633
United States
County
Lauderdale
Phone
2567601655
(
Phone
)
Billing Details
Address
970 Cox Creek Parkway
Florence, AL 35633
Billing Phone
2567601655
Specialty Type
Family Practice
Map
Address