Cyrus    Ghavam    MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000609
NPI
1023063989
Tax ID
923966599
Effective Date
8/1/1999
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Location Details
Address
2506 Danville Road Suite 202
Decatur, AL 35603
United States
County
Morgan
Phone
2563409449 (Phone)
Billing Details
Address
2506 Danville Road
Suite 202
Huntsville, AL 35603
Billing Phone
2565392728
Specialty Type
Surgery, Orthopedic Spine
Map
Address