William  N  Haller  III  MD
Contract Details
Gadsden Orthopaedics
Facility name
Provider ID
P000000694
NPI
1437194438
Tax ID
630650229
Effective Date
10/25/2000
Last Updated
5/14/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2110 Glenn Boulevard Southwest Suite B
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2568454545 (Phone)
Billing Details
Address
100 Medical Center Drive
Suite 101
Gadsden, AL 35903
Billing Phone
2564928590
Specialty Type
Surgery, Orthopedic
Map
Address