Contract Details
Facility name
Wright Medical Services
Provider ID
P000002509
Tax ID
275314720
Effective Date
7/1/2011
Last Updated
9/16/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
213 River Park North Drive
Woodstock, GA 30188
United States
County
Cherokee
Phone
7705928795 (Phone)
Billing Details
Address
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address