Stephen  P  Cowley    MD
Contract Details
Lemak Sports Medicine & Orthopedics
Facility name
Provider ID
P000000354
NPI
1053389031
Tax ID
271162441
Effective Date
6/25/2011
Last Updated
10/13/2015
Direct Contract
Yes
Term Date
10/13/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
70 Plaza Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2053975200 (Phone)
Billing Details
Address
2316 1st Avenue South
Birmingham, AL 35233
Billing Phone
2053297516
Specialty Type
Surgery, Orthopedic
Map
Address