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Contract Details
Previously Alabama Orthopedic Specialists
Facility name
Hughston Clinic
Provider ID
P000000001
NPI
1992440457
Tax ID
581155460
Effective Date
6/1/2022
Last Updated
6/8/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
4294 Lomac Street
Montgomery, AL 36106
United States
Phone
334-274-9000
(
Phone
)
Billing Details
Address
4294 Lomac Street
Montgomery, AL 36106
Billing Phone
334-274-9000
Specialty Type
Physical Therapy
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