Charles    Morley    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000001202
NPI
1629021654
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
8/29/2016
Direct Contract
Yes
Term Date
12/31/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
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 Foot
Map
Address