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Jodianne
T
Carter
MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000268
NPI
1922030014
Tax ID
630691977
Effective Date
3/1/1999
Last Updated
12/3/2013
Direct Contract
Yes
Term Date
12/3/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
121 North 20th Street Building 26
Opelika, AL 36801
United States
County
Lee
Phone
3347491486
(
Phone
)
Billing Details
Address
Specialty Type
Ophthalmology
Map
Address