Joseph  W  Clark    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000306
NPI
1295704419
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
Physicians' Plaza at Crestwood 4810 Whitesport Circle, Suite 120
Huntsville, AL 35802
United States
County
Madison
Phone
2567040980 (Phone)
Billing Details
Address
Physicians' Plaza at Crestwood
4810 Whitesport Circle, Suite 120
Huntsville, AL 35802
Billing Phone
2565392728
Specialty Type
Surgery, Hand
Map
Address