Michael  E  Freeman    MD
Contract Details
Southern Orthopaedic Surgeons
Facility name
Provider ID
P000000575
NPI
1740240993
Tax ID
631178354
Effective Date
11/6/2000
Last Updated
8/28/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
80 Herren Hill Road Suite G
Tallassee, AL 36078
United States
County
Elmore
Phone
3346139000 (Phone)
Billing Details
Address
80 Herren Hill Road
Suite G
Tallassee, AL 36078
Billing Phone
3346139000
Specialty Type
Surgery, Orthopedic
Map
Address