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Dewey
H
Jones
IV
MD
Contract Details
Dewey H. Jones, IV, M.D., LLC
Facility name
Provider ID
P000000863
NPI
1053330316
Tax ID
810585089
Effective Date
7/1/2004
Last Updated
2/22/2016
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
513 Brookwood Boulevard Suite 200
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058779191
(
Phone
)
Billing Details
Address
513 Brookwood Boulevard
Suite 200
Birmingham, AL 35209
Billing Phone
2058779191
Specialty Type
Surgery, Orthopedic
Map
Address