Charles  E  Hall  Jr  MD
Contract Details
Alabama Orthopaedic Clinic
Facility name
Provider ID
P000000693
NPI
1013917459
Tax ID
631174582
Effective Date
7/1/2005
Last Updated
6/28/2018
Direct Contract
Yes
Term Date
6/25/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
United States
County
Mobile
Phone
2514103600 (Phone)
Billing Details
Address
Specialty Type
Physical Medicine & Rehabilitation
Map
Address