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Jeffrey
K
Eng
MD
Contract Details
Facility name
Provider ID
P000000500
NPI
1497852453
Tax ID
097526954
Effective Date
8/1/1999
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
4465 Narrow Lane Road
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342847827
(
Phone
)
Billing Details
Address
4465 Narrow Lane Road
Montgomery, AL 36116
Billing Phone
3342847827
Specialty Type
Physical Medicine & Rehabilitation
Map
Address