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Contract Details
Anniston Orthopaedic Associates, P.A.
Facility name
Anniston Orthopaedics
Provider ID
P000001999
NPI
1114916681
Tax ID
630585592
Effective Date
11/1/1996
Last Updated
10/9/2018
Direct Contract
Yes
Term Date
10/2/2018
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
731 Leighton Avenue Suite 300
Anniston, AL 36207
United States
County
Calhoun
Phone
2562364121
(
Phone
)
Billing Details
Address
P.O. Box 1765
Anniston, AL 36207
Billing Phone
2562364121
Specialty Type
Surgery, Orthopedic
Map
Address