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Lameka
R
Tolliver-Fisher
DC
Contract Details
Fisher Chiropractic Wellness Center
Facility name
Provider ID
P000001752
NPI
1902855703
Tax ID
412238393
Effective Date
10/15/2007
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4643 Camp Coleman Road Suite 121
Trussville, AL 35173
United States
County
Jefferson
Phone
2056554666
(
Phone
)
Billing Details
Address
4643 Camp Coleman Road
Suite 121
Trussville, AL 35173
Billing Phone
2056554666
Specialty Type
Chiropractic Medicine
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Address