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Contract Details
Facility name
Greene County Physicians Clinic
Provider ID
P000000001
NPI
1043389398
Tax ID
636005451
Effective Date
10/1/2020
Last Updated
10/20/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_463
Exhibit Attachment
Location Details
Address
607 Wilson Avenue
Eutaw, AL 35462
United States
Phone
205-372-4035
(
Phone
)
Billing Details
Address
607 Wilson Avenue
Eutaw, AL 35462
Billing Phone
205-372-4035
Specialty Type
Urgent Care Facility
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