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Contract Details
Gadsden Orthopaedic Associates, P.C.
Facility name
Gadsden Orthopaedic Associates, PC
Provider ID
P000002149
NPI
1245355320
Tax ID
630650229
Effective Date
10/25/2000
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2110 Glenn Boulevard Southwest Suite B
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2568454545
(
Phone
)
Billing Details
Address
100 Medical Center Drive
Suite 101
Gadsden, AL 359031199
Billing Phone
2564928590
Specialty Type
Surgery, Orthopedic
Map
Address