Dale    Culpepper    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000000372
NPI
1275589434
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
10/24/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
Location Details
Address
44 Hughes Road Suite 1100
Madison, AL 35758
United States
County
Madison
Phone
2564648200 (Phone)
Billing Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Surgery, Orthopedic
Map
Address