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Contract Details
Facility name
Alabama Neurology Associates
Provider ID
P000007119
NPI
1679642805
Tax ID
630976742
Effective Date
4/1/2007
Last Updated
2/15/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
509 Brookwood Boulevard Suite 101
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058032210
(
Phone
)
Billing Details
Address
509 Brookwood Boulevard
Suite 101
Birmingham, AL 35209
Billing Phone
2058032210
Specialty Type
Neurology
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Address