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Stephen
McBride
MD
Contract Details
CRMC Medical Group, LLC
Facility name
Provider ID
P000000001
NPI
1417211293
Tax ID
462447900
Effective Date
12/17/2020
Last Updated
1/11/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1912 AL Highway 157
Cullman, AL 35058
United States
Phone
2567372000
(
Phone
)
Billing Details
Address
1912 AL Highway 157
Cullman, AL 35058
Billing Phone
2567372000
Specialty Type
Surgery, General
Website
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