Contract Details
One Call Care Management
Facility name
Southern Bone & Joint Specialists
Provider ID
P000002419
NPI
1083898852
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
6/3/2014
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
4300 West Main Street Suite 14
Dothan, AL 36301
United States
County
Houston
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address