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Contract Details
Neurosurgical Associates
Facility name
Neurosurgical Associates
Provider ID
P000009202
Tax ID
630576431
Effective Date
8/14/2018
Last Updated
7/1/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1948 Highway 157 Building 1, Suite 430
Cullman, AL 35058
United States
County
Cullman
Phone
2059338981
(
Phone
)
Billing Details
Address
1948 Highway 157
Building 1, Suite 430
Birmingham, AL 35058
Billing Phone
2059338981
Specialty Type
Surgery, Neurological
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Address