Stanton  B  Davis  Jr  MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000403
NPI
1164483392
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
38 Rowe Drive
Guntersville, AL 35976
United States
County
Marshall
Phone
2567538901 (Phone)
Billing Details
Address
38 Rowe Drive
Huntsville, AL 35976
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic Foot
Map
Address