Patrick    Harbison    NP
Contract Details
CRMC Medical Group, LLC
Facility name
Provider ID
P000000001
NPI
1942691548
Tax ID
462447900
Effective Date
12/17/2020
Last Updated
1/11/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1300 Bridge Creek Drive NE
Cullman, AL 35055
United States
Phone
2562978935 (Phone)
Billing Details
Address
1300 Bridge Creek Drive NE
Cullman, AL 35055
Billing Phone
2562978935
Specialty Type
Surgery, Orthopedic
Website
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