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Lori
Tippets
PA-C
Contract Details
Anniston Orthopaedics
Facility name
Provider ID
P000000001
NPI
1427522762
Tax ID
922164113
Effective Date
1/1/2024
Last Updated
1/8/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
731 Leighton Avenue Suite 300
Anniston, AL 36207
United States
Phone
2562364121
(
Phone
)
Billing Details
Address
731 Leighton Avenue Suite 300
Anniston, AL 36207
Billing Phone
2562364121
Specialty Type
Physician Assistant
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