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Philip
A
Maddox
MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000001037
NPI
1932168150
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Exhibit Attachment
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, Hand
Map
Address