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James
P
Beretta
MD
Contract Details
Dr. James Beretta, P.C.
Facility name
Provider ID
P000000124
NPI
1538148291
Tax ID
631277087
Effective Date
8/14/2001
Last Updated
4/17/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2501 Meadowview Lane
Pelham, AL 35124
United States
County
Shelby
Phone
2056855357
(
Phone
)
Billing Details
Address
Specialty Type
Anesthesiology
Map
Address