Contract Details
Align Networks, Inc.
Facility name
Southern Bone & Joint Specialists
Provider ID
P000002420
NPI
1447628060
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
404 North Main Street
Enterprise, AL 36330
United States
County
Coffee
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address