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Kristy
Crandell
MD
Contract Details
Bay Tree Family Care
Facility name
Provider ID
P000000001
NPI
1578500146
Tax ID
631273170
Effective Date
5/23/2024
Last Updated
5/29/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
214 Hospital Road
Red Bay, AL 35582
United States
Phone
256-356-5609
(
Phone
)
Billing Details
Address
214 Hospital Road
Red Bay, AL 35582
Billing Phone
256-356-5609
Specialty Type
Family Practice
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