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Catherine
Chumbley
PA-C
Contract Details
Affinity Orthopedic Specialists
Facility name
Provider ID
P000000001
NPI
1215407226
Tax ID
364907908
Effective Date
4/18/2019
Last Updated
3/23/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1010 First Street N
Alabaster, AL 35007
United States
Phone
205-971-3356
(
Phone
)
Billing Details
Address
1010 First Street N
Belfast, ME 35007
Billing Phone
877-848-1457
Specialty Type
Surgery, Orthopedic
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Address