Robert  E  Ostendorf  III  MD
Contract Details
Cherokee Medical Center
Facility name
Provider ID
P000001298
NPI
1003833021
Tax ID
204370931
Effective Date
7/1/2011
Last Updated
6/12/2014
Direct Contract
Yes
Term Date
6/12/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_004
Location Details
Address
215 South 5th Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565432867 (Phone)
Billing Details
Address
P.O. Box 277503
Atlanta, GA 30384
Billing Phone
2569275531
Specialty Type
Otolaryngology
Map
Address