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Contract Details
Alabama Opththalmology Associates, P.C.
Facility name
Alabama Ophthalmology Associates
Provider ID
P000008611
NPI
1366484941
Tax ID
630772886
Effective Date
3/14/2017
Last Updated
3/28/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1000 19th Street S
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059300700
(
Phone
)
Billing Details
Address
1000 19th Street S
Birmingham, AL 35205
Billing Phone
2059300700
Specialty Type
Ophthalmology
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