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Wilfred
W
Yeargan
Jr
MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000001913
NPI
1376531152
Tax ID
630578048
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/5/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1030 Fairfax Park
Tuscaloosa, AL 35406
United States
County
Tuscaloosa
Phone
2057521584
(
Phone
)
Billing Details
Address
1030 Fairfax Park
Tuscaloosa, AL 35406
Billing Phone
2057521584
Specialty Type
Ophthalmology
Map
Address