Mark  A  Leberte    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000974
NPI
1023087723
Tax ID
631210156
Effective Date
8/1/1999
Last Updated
7/24/2017
Direct Contract
Yes
Term Date
7/1/2017
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_486
Location Details
Address
8415 Wann Drive
Madison, AL 35758
United States
County
Madison
Phone
2567041210 (Phone)
Billing Details
Address
Franklin Medical Tower
927 Franklin Street
Huntsville, AL 35801
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic
Map
Address