Contract Details
Facility name
Sports Medicine & Rehabilitation Center
Provider ID
P000002437
Tax ID
631133454
Effective Date
12/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/8/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1330 Highway 231
Troy, AL 36081
United States
County
Pike
Phone
3346705435 (Phone)
Billing Details
Address
Department AT - 40036
Atlanta, GA 311920036
Specialty Type
Physical Therapy
Map
Address