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William
E
Holcomb
III
MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000771
NPI
1427037605
Tax ID
630809875
Effective Date
3/1/1999
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
12/31/2011
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1800 Highway 157 POB 3, Suite 201
Cullman, AL 35055
United States
County
Cullman
Phone
2567365507
(
Phone
)
Billing Details
Address
1800 Highway 157
POB 3, Suite 201
Cullman, AL 35055
Billing Phone
2567365507
Specialty Type
Ophthalmology
Map
Address