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James
E
Lyle
IV
MD
Contract Details
East Alabama Orthopaedics and Sports Medicine
Facility name
Provider ID
P000001026
NPI
1023052610
Tax ID
262385159
Effective Date
1/22/2025
Last Updated
1/29/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2000 Pepperell Parkway
Opelika, AL 36801
United States
County
Lee
Phone
3345282663
(
Phone
)
Billing Details
Address
2000 Pepperell Parkway
Opelika, AL 36801
Billing Phone
3345282663
Specialty Type
Surgery, Orthopedic
Map
Address