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Donald James
Reynolds
Jr
DO
Contract Details
Open MRI of Oxford
Facility name
Provider ID
P000001452
NPI
1659353886
Tax ID
621745981
Effective Date
6/1/1999
Last Updated
8/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_060
AM_060
Location Details
Address
1612 Hamric Drive East Suite 101
Oxford, AL 36203
United States
County
Calhoun
Phone
2568320007
(
Phone
)
Billing Details
Address
1612 Hamric Drive East
Suite 101
Oxford, AL 36203
Billing Phone
2568320007
Specialty Type
Radiology, Diagnostic
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Address