J. Patrick    Martens    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000001062
NPI
1235340530
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
8/29/2016
Direct Contract
Yes
Term Date
12/12/2014
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
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
Surgery, Orthopedic
Map
Address