Jeffrey  S  Cuomo    MD
Contract Details
Southern Orthopedic and Sports Medicine Associates
Facility name
Provider ID
P000003467
NPI
1265476592
Tax ID
630889081
Effective Date
2/1/1999
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2950 Highway 78 East
Jasper, AL 35501
United States
County
Walker
Phone
2052215374 (Phone)
Billing Details
Address
P.O. Box 580
Jasper, AL 35502
Billing Phone
2052215374
Specialty Type
Surgery, Orthopedic
Map
Address