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Diana
J
Hudgins
DC
Contract Details
ChiroPlus of Alabama
Facility name
Provider ID
P000000804
NPI
1821170804
Tax ID
631022507
Effective Date
5/14/1998
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2030 Highway 431 North
Boaz, AL 35957
United States
County
Marshall
Phone
2565936158
(
Phone
)
Billing Details
Address
2030 Highway 431 North
Boaz, AL 35957
Billing Phone
2565936158
Specialty Type
Chiropractic Medicine
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Address