Tyler    Byrd    DO
Contract Details
CRMC Medical Group, LLC
Facility name
Provider ID
P000000001
NPI
1255787636
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
1948 Alabama Highway 157 Professional Office Building 1, Suite 360
Cullman, AL 35058
United States
Phone
2567355570 (Phone)
Billing Details
Address
1948 Alabama Highway 157
Professional Office Building 1, Suite 360
Cullman, AL 35058
Billing Phone
2567355570
Specialty Type
Psychiatry
Website
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