Troy  A  Layton    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000000969
NPI
1669425104
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
22423 Highway 72 East Suite A
Athens, AL 35613
United States
County
Limestone
Phone
2562309607 (Phone)
Billing Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Sports Medicine
Map
Address