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Contract Details
Facility name
Pinson Medical Offices, P.A.
Provider ID
P000007343
NPI
1518076678
Tax ID
630626691
Effective Date
12/16/1993
Last Updated
7/18/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4338 Main Street
Pinson, AL 35126
United States
County
Jefferson
Phone
2056817902
(
Phone
)
Billing Details
Address
4338 Main Street
Pinson, AL 35126
Billing Phone
2056817902
Specialty Type
Family Practice
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Address