Allen    Goodson    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000634
NPI
1609837830
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
2/2/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Location Details
Address
8415 Wann Drive
Madison, AL 35758
United States
County
Madison
Phone
2567041210 (Phone)
Billing Details
Address
8415 Wann Drive
Huntsville, AL 35758
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic
Map
Address