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Contract Details
Neurosurgical Associates
Facility name
Neurosurgical Associates
Provider ID
P000009200
Tax ID
630576431
Effective Date
8/14/2018
Last Updated
7/21/2020
Direct Contract
Yes
Term Date
7/20/2020
Status
Term
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
731 Leighton Avenue Suite 300
Anniston, AL 36207
United States
County
Calhoun
Phone
2059338981
(
Phone
)
Billing Details
Address
731 Leighton Avenue
Suite 300
Birmingham, AL 36207
Billing Phone
2059338981
Specialty Type
Surgery, Neurological
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