William  N  Haller  Jr  MD
Contract Details
Gadsden Orthopaedics
Facility name
Provider ID
P000000695
NPI
1598709479
Tax ID
630650229
Effective Date
10/25/2000
Last Updated
5/14/2013
Direct Contract
Yes
Term Date
5/14/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
100 Medical Center Drive Suite 101
Gadsden, AL 35903
United States
County
Etowah
Phone
2564928590 (Phone)
Billing Details
Address
Specialty Type
Surgery, Orthopedic
Map
Address