Michael  J  Patterson    MD
Contract Details
Lemak Sports Medicine & Orthopedics
Facility name
Provider ID
P000001335
NPI
1811934086
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
1320 Woodfin Lane
Clanton, AL 35045
United States
County
Chilton
Phone
2053589120 (Phone)
Billing Details
Address
2316 1st Avenue South
Birmingham, AL 35233
Billing Phone
2053297516
Specialty Type
Surgery, Orthopedic
Map
Address