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Contract Details
Facility name
Wilhoite & Associates
Provider ID
P000002508
NPI
1881670099
Tax ID
631109638
Effective Date
4/1/2015
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1617 Leighton Avenue
Anniston, AL 36207
United States
County
Calhoun
Phone
2562377500
(
Phone
)
Billing Details
Address
1617 Leighton Avenue
Anniston, AL 36207
Billing Phone
2562377500
Specialty Type
Physical Therapy
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Address