Joel    McCord    RPT
Contract Details
Shoals Orthopedics & Sports Medicine
Facility name
Provider ID
P000007463
NPI
1205980265
Tax ID
753040383
Effective Date
11/2/2011
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
128 West Tombigbee Street
Florence, AL 35630
United States
County
Lauderdale
Phone
2567184041 (Phone)
Billing Details
Address
128 West Tombigbee Street
Florence, AL 35630
Billing Phone
2567184041
Specialty Type
Physical Therapy
Map
Address