Paul  A  Davis    MD
Contract Details
Shoals Orthopedics & Sports Medicine
Facility name
Provider ID
P000002640
NPI
1912051160
Tax ID
753040383
Effective Date
11/2/2011
Last Updated
9/10/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
426 West College Street
Florence, AL 35630
United States
County
Lauderdale
Phone
2567184041 (Phone)
Billing Details
Address
426 West College Street
Florence, AL 35630
Billing Phone
2567184041
Specialty Type
Surgery, Orthopedic
Map
Address