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Heather
Bland
NP
Contract Details
Baptist Health Occupational Medicine
Facility name
Provider ID
P000000001
NPI
1447800081
Tax ID
203204949
Effective Date
9/22/2022
Last Updated
12/12/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2173 Normandie Drive
Montgomery, AL 36111
United States
Phone
334-747-3770
(
Phone
)
Billing Details
Address
2173 Normandie Drive
Montgomery, AL 36111
Billing Phone
334-747-3770
Specialty Type
Nurse Practitioner
Website
Visit Website
Workers Comp Coordinator
Emily
Lauderdale
334-747-3770
ejlauderdale@baptistfirst.org
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Address