Thomas  G  Wells    MD
Contract Details
Alabama Orthopaedic Specialists
Facility name
Provider ID
P000001840
NPI
1952386740
Tax ID
630791692
Effective Date
6/1/1994
Last Updated
10/6/2014
Direct Contract
Yes
Term Date
8/31/2012
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
4294 Lomac Street
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342749000 (Phone)
Billing Details
Address
P.O. Box 235003
Montgomery, AL 36123
Billing Phone
3342749000
Specialty Type
Surgery, Orthopedic
Map
Address