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Contract Details
ChiroPlus of Alabama
Facility name
Northport Chiropractic Center
Provider ID
P000002281
Tax ID
630835268
Effective Date
2/1/2005
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
10/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2209 20th Avenue
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053394522
(
Phone
)
Billing Details
Address
2209 20th Avenue
Northport, AL 35476
Billing Phone
2053394522
Specialty Type
Chiropractic Medicine
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