Gene    Watterson  Jr  MD
Contract Details
Alabama Orthopedic, Spine & Sports Medicine Associates
Facility name
Provider ID
P000006808
NPI
1225001449
Tax ID
630954295
Effective Date
2/15/1993
Last Updated
6/25/2018
Direct Contract
Yes
Term Date
6/25/2018
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1801 Gadsden Highway
Birmingham, AL 35283
United States
County
Jefferson
Phone
2058383900 (Phone)
Billing Details
Address
P.O. Box 830785
Drawer 415
Birmingham, AL 35283
Billing Phone
2058383900
Specialty Type
Rheumatology
Map
Address