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Caroline
Feist
MD
Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Provider ID
P000000530
NPI
1548311020
Tax ID
752014828
Effective Date
11/15/2006
Last Updated
6/6/2014
Direct Contract
Yes
Term Date
6/6/2014
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
110 Oxmoor Court
Birmingham, AL 35209
United States
County
Jefferson
Phone
2059450773
(
Phone
)
Billing Details
Address
P.O. Box 82730
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine
Map
Address