John  A  Higginbotham    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000000756
NPI
1326089905
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
5/20/2013
Direct Contract
Yes
Term Date
1/1/2012
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
United States
County
Madison
Phone
2568815151 (Phone)
Billing Details
Address
Specialty Type
Surgery, Orthopedic
Map
Address