Contract Details
Facility name
Premier Orthopaedics & Sports Medicine
Provider ID
P000002347
NPI
1144474388
Tax ID
263562862
Effective Date
9/1/2010
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
380 Woods Cove Road Suite A
Scottsboro, AL 35768
United States
County
Jackson
Phone
2565742663 (Phone)
Billing Details
Address
380 Woods Cove Road
Suite A
Scottsboro, AL 35768
Billing Phone
2565742663
Specialty Type
Sports Medicine
Map
Address