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Elizabeth
Deslattes
NP
Contract Details
It's About Time Urgent Care
Facility name
Provider ID
P000000001
NPI
1982920658
Tax ID
465432179
Effective Date
4/16/2020
Last Updated
4/20/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
P.O. Box 11407
Birmingham, AL 35246
United States
Phone
205-409-7330
(
Phone
)
Billing Details
Address
P.O. Box 11407
Birmingham, AL 35246
Billing Phone
205-409-7330
Specialty Type
Urgent Care Facility
Map
Address