David Shane    Buggay    MD
Contract Details
Alabama Bone & Joint Clinic
Facility name
Provider ID
P000000219
NPI
1134197171
Tax ID
274655689
Effective Date
1/1/1999
Last Updated
8/19/2014
Direct Contract
Yes
Term Date
1/2/1999
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
48 Medical Park Drive East Suite 251
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058383090 (Phone)
Billing Details
Address
48 Medical Park Drive East
Suite 251
Birmingham, AL 35235
Billing Phone
2058383090
Specialty Type
Surgery, Orthopedic
Map
Address