William  H  Burkhalter  III  MD
Contract Details
Lemak Sports Medicine & Orthopedics
Facility name
Provider ID
P000000226
NPI
1649353756
Tax ID
271162441
Effective Date
6/25/2011
Last Updated
6/3/2014
Direct Contract
Yes
Term Date
11/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
720 Montclair Road Suite 101
Birmingham, AL 35213
United States
County
Jefferson
Phone
2053975200 (Phone)
Billing Details
Address
2316 1st Avenue South
Birmingham, AL 35233
Billing Phone
2053297516
Specialty Type
Family Practice
Map
Address