Contract Details
Facility name
Southern Orthopaedic Specialists
Provider ID
P000002425
NPI
1568516151
Tax ID
631280331
Effective Date
1/21/2002
Last Updated
6/3/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
516 Brookwood Boulevard
Birmingham, AL 35209
United States
County
Jefferson
Phone
2053972663 (Phone)
Billing Details
Address
516 Brookwood Boulevard
Birmingham, AL 35209
Billing Phone
2053972663
Specialty Type
Surgery, Orthopedic
Map
Address