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Kyle
B
Maddox
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001036
NPI
1952484735
Tax ID
631117694
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
8760 Madison Boulevard Suite M
Madison, AL 35758
United States
County
Madison
Phone
2564640020
(
Phone
)
Billing Details
Address
8760 Madison Boulevard
Suite M
Madison, AL 35758
Billing Phone
2564640020
Specialty Type
Chiropractic Medicine
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Address