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Martin
P
Jones
Jr
MD
Contract Details
Swaid Clinic
Facility name
Provider ID
P000000864
NPI
1134149255
Tax ID
631030747
Effective Date
4/4/1994
Last Updated
5/21/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1025 Montgomery Highway
Vestavia Hills, AL 35216
United States
County
Jefferson
Phone
205-949-1800
(
Phone
)
Billing Details
Address
1025 Montgomery Highway
Suite 100
Birmingham, AL 35216
Billing Phone
2059491800
Specialty Type
Sports Medicine
Map
Address