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Cary
F
Camp
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000000247
NPI
1649378670
Tax ID
630716709
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
300 East Street North Suite E
Talladega, AL 35160
United States
County
Talladega
Phone
2563622003
(
Phone
)
Billing Details
Address
P.O. Box 491
Talladega, AL 35161
Billing Phone
2563622003
Specialty Type
Chiropractic Medicine
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Address