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Contract Details
Facility name
Madison Medical Associates
Provider ID
P000000001
Tax ID
472998615
Effective Date
4/16/2021
Last Updated
4/22/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3809 Sullivan Street Suite 4
Madison, AL 35758
United States
Phone
256-325-1160
(
Phone
)
Billing Details
Address
3809 Sullivan Street
Suite 4
Madison, AL 35758
Billing Phone
256-325-1160
Specialty Type
Emergency Medicine
Website
Visit Website
Workers Comp Coordinator
Sarah
Marsh
256-325-1160
smarsh@madisonmedicalassociates.com
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