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Contract Details
Sportsmed Orthopaedic Specialists, P.C.
Facility name
SportsMed Orthopaedic Surgery & Spine Center
Provider ID
P000002441
NPI
1679614374
Tax ID
631262177
Effective Date
5/25/2005
Last Updated
10/24/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
AM_285
Location Details
Address
44 Hughes Road Suite 1100
Madison, AL 35758
United States
County
Madison
Phone
2564648200
(
Phone
)
Billing Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Surgery, Orthopedic
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Address