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Hannah
Henslee
CRNP
Contract Details
Neurosurgical Associates
Facility name
Provider ID
P000000001
NPI
1700941317
Tax ID
630576431
Effective Date
1/30/2024
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
800 St. Vincent's Drive Suite 700
Birmingham, AL 35205
United States
Phone
205-933-8981
(
Phone
)
Billing Details
Address
800 St. Vincent's Drive
Suite 700
Birmingham, AL 35205
Billing Phone
2059338981
Specialty Type
Surgery, Neurological
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Address