Contract Details
Alabama Orthopaedic Surgical Specialists, P.C.
Facility name
Orthopaedic Sports Medicine Clinic of Alabama
Provider ID
P000002309
NPI
1902905706
Tax ID
200433067
Effective Date
3/15/2005
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
200 Montgomery Highway Suite 200
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058229595 (Phone)
Billing Details
Address
200 Montgomery Highway
Suite 200
Birmingham, AL 35216
Billing Phone
2058229595
Specialty Type
Physical Therapy
Map
Address