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George
M
Hill
MD
Contract Details
OrthoSports Associates--Birmingham-St. Vincent's
Facility name
Provider ID
P000000760
NPI
1487622049
Tax ID
275501752
Effective Date
5/16/2012
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
12/16/2013
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
833 St. Vincent's Drive Suite 403
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059390447
(
Phone
)
Billing Details
Address
P.O. Box 11407
Department 2004
Birmingham, AL 35246
Billing Phone
2059390447
Specialty Type
Surgery, Orthopedic
Map
Address