Brandy    Junkin    CRNP
Contract Details
Pickens County Primary Care
Facility name
Provider ID
P000000001
NPI
1902259443
Tax ID
464519002
Effective Date
7/15/2021
Last Updated
7/20/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
108 4th Avenue SW Suite A
Reform, AL 35481
United States
Phone
205-375-6251 (Phone)
Billing Details
Address
P.O. Box 1000
Reform, AL 35481
Billing Phone
205-375-6251
Specialty Type
Family Practice
Website
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