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Contract Details
Facility name
Medical Associates of The Shoals
Provider ID
P000002250
NPI
1093881468
Tax ID
630923366
Effective Date
5/7/2003
Last Updated
8/19/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1100 South Jackson Highway Suite 150
Sheffield, AL 35660
United States
County
Colbert
Phone
2563834447
(
Phone
)
Billing Details
Address
1100 South Jackson Highway
Suite 150
Sheffield, AL 35660
Billing Phone
2563839818
Specialty Type
General Practice
Map
Address