Contract Details
Facility name
East Alabama Orthopaedics and Sports Medicine
Provider ID
P000002095
NPI
1922272624
Tax ID
262385159
Effective Date
11/1/2009
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2000 Pepperell Parkway
Opelika, AL 36801
United States
County
Lee
Phone
3345282663 (Phone)
Billing Details
Address
2000 Pepperell Parkway
Opelika, AL 36801
Billing Phone
3345282663
Specialty Type
Surgery, Orthopedic
Map
Address