Paul  R  Goldhagen    MD
Contract Details
Bone & Joint Specialists
Facility name
Provider ID
P000000625
NPI
1750395851
Tax ID
631203807
Effective Date
11/1/1998
Last Updated
6/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
500 Hospital Drive
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345674311 (Phone)
Billing Details
Address
3368 Highway 280
Suite 116
Alexander City, AL 35010
Billing Phone
2563299133
Specialty Type
Surgery, Orthopedic
Map
Address