Need help with getting Physician's Medicaid State Provider number into field
33B on 1500-F05 form.

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Roger Allen
HCIS Manager
MRMC - Meadows Regional Medical Center
1703 Meadows Lane
P.O. Box 1048
Vidalia, GA 30475-1048

 Phone: 912-538-5860
   Fax: 912-538-5351
E-Mail: [EMAIL PROTECTED]
   Web: www.meadowsregional.org



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