Contract Details
Facility name
Andrews Sports Medicine & Orthopaedic Center
Provider ID
P000001998
NPI
1679617526
Tax ID
475195311
Effective Date
3/4/2011
Last Updated
12/28/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
805 St. Vincent's Drive Suite 100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059393699 (Phone)
Billing Details
Address
805 St. Vincent's Drive
Suite 100
Atlanta, GA 35205
Billing Phone
2059393699
Specialty Type
Surgery, Orthopedic
Map
Address