Rory  C  Farris    MD
Contract Details
Southern Bone & Joint Specialists
Facility name
Provider ID
P000000524
NPI
1568671204
Tax ID
200870135
Effective Date
7/1/1998
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1500 Ross Clark Circle
Dothan, AL 36301
United States
County
Houston
Phone
3347932663 (Phone)
Billing Details
Address
P.O. Box 729
Dothan, AL 36302
Specialty Type
Surgery, Orthopedic
Map
Address