Geoffrey    Connor    MD
Contract Details
D1 Sports Medicine
Facility name
Provider ID
P000006677
NPI
1073586277
Tax ID
273578094
Effective Date
9/19/2012
Last Updated
1/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1651 Independence Court Suite 211
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058033700 (Phone)
Billing Details
Address
1651 Independence Court
Suite 211
Homewood, AL 35209
Billing Phone
2058033700
Specialty Type
Surgery, Orthopedic
Map
Address