George  J  Douthit  Jr  MD
Contract Details
Northeast Orthopedic Clinic, PC
Facility name
Provider ID
P000000442
NPI
1750307708
Tax ID
631081989
Effective Date
10/15/1999
Last Updated
9/2/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
507 South 4th Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565477417 (Phone)
Billing Details
Address
507 South 4th Street
Gadsden, AL 35901
Billing Phone
2565477417
Specialty Type
Surgery, Orthopedic
Map
Address