Kathryn    Pettit    MD
Contract Details
Cullman Regional Family Care
Facility name
Cullman Regional Family Care
Provider ID
P000000001
NPI
1376718080
Tax ID
462447900
Effective Date
12/17/2020
Last Updated
1/11/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1912 AL Highway 157
Cullman, AL 35058
United States
Phone
256-737-2000 (Phone)
Billing Details
Address
1912 AL Highway 157
Cullman, AL 35058
Billing Phone
256-737-2000
Specialty Type
Family Practice
Website
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