Contract Details
Align Networks, Inc.
Facility name
Southern Orthopaedic Surgeons, LLC
Provider ID
P000002427
NPI
1891981197
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
488 Saint Lukes Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address