William  H  Burkhalter  III  MD
Contract Details
Lemak Sports Medicine & Orthopedics
Facility name
Provider ID
P000000226
NPI
1649353756
Tax ID
271162441
Effective Date
6/25/2011
Last Updated
6/3/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5890 Valley Road
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056610987 (Phone)
Billing Details
Address
2316 1st Avenue South
Birmingham, AL 35233
Billing Phone
2053297516
Specialty Type
Surgery, Orthopedic
Map
Address