Michael  W  Cantrell    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000256
NPI
1184672453
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Location Details
Address
104 Liberty Lane
Scottsboro, AL 35768
United States
County
Jackson
Phone
2565744448 (Phone)
Billing Details
Address
104 Liberty Lane
Huntsville, AL 35768
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic
Map
Address