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Rory
C
Farris
MD
Contract Details
Southern Bone & Joint Specialists
Facility name
Provider ID
P000000524
NPI
1568671204
Tax ID
200870135
Effective Date
7/1/1998
Last Updated
8/28/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1200 Maple Avenue
Geneva, AL 36340
United States
County
Geneva
Phone
3343089797
(
Phone
)
Billing Details
Address
1200 Maple Avenue
Geneva, AL 36340
Billing Phone
3343089797
Specialty Type
Surgery, Orthopedic
Map
Address