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Contract Details
Knighten Family Health & Chiropractic
Facility name
Knighten Family Chiropractic
Provider ID
P000002225
NPI
1194864637
Tax ID
630959986
Effective Date
4/12/2019
Last Updated
4/16/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3326 Rainbow Drive
Rainbow City, AL 35906
United States
County
Etowah
Phone
2564421118
(
Phone
)
Billing Details
Address
3326 Rainbow Drive
Rainbow City, AL 35906
Billing Phone
2564421118
Specialty Type
Chiropractic Medicine
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