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Contract Details
East Alabama Medical Development Associates, Inc
Facility name
East Alabama Occupational Medicine
Provider ID
P000000001
NPI
1891236964
Tax ID
820681578
Effective Date
5/21/2024
Last Updated
5/24/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 N 20th Street Building 17
Opelika, AL 36801
United States
Phone
334-528-6900
(
Phone
)
Billing Details
Address
P.O. Box 1000
Valley, AL 36854
Billing Phone
334-528-6900
Specialty Type
Occupational Medicine
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