Lee    Nichols  Jr  MD
Contract Details
Shoals Orthopedics & Sports Medicine
Facility name
Provider ID
P000001261
NPI
1922152503
Tax ID
753040383
Effective Date
11/2/2011
Last Updated
2/26/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
128 West Tombigbee Street
Florence, AL 35630
United States
County
Lauderdale
Phone
2567182075 (Phone)
Billing Details
Address
Specialty Type
Surgery, Orthopedic
Map
Address