Syed    Ahmed    MD
Contract Details
Wedowee Hospital
Facility name
Provider ID
P000000013
NPI
1073536629
Tax ID
203847589
Effective Date
11/1/2006
Last Updated
8/7/2014
Direct Contract
Yes
Term Date
8/7/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_057
Location Details
Address
209 South Main Street
Wedowee, AL 36278
United States
County
Randolph
Phone
2563572078 (Phone)
Billing Details
Address
P.O. Box 307
Wedowee, AL 36278
Billing Phone
Specialty Type
Internal Medicine
Map
Address