Angela  L  Hampton    DPM
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000000701
NPI
1134347271
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
10/24/2016
Direct Contract
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
Location Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
United States
County
Madison
Phone
2568815151 (Phone)
Billing Details
Address
Specialty Type
Podiatry
Map
Address