Chad  E  Mathis    MD
Contract Details
Alabama Bone & Joint Clinic
Facility name
Provider ID
P000007513
NPI
1467444927
Tax ID
274655689
Effective Date
3/1/1996
Last Updated
8/24/2017
Direct Contract
Yes
Term Date
7/31/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5295 Preserve Parkway Suite 250
Birmingham, AL 35244
United States
County
Jefferson
Phone
2056213778 (Phone)
Billing Details
Address
120 Cahaba Valley Parkway
Suite 100
Pelham, AL 35124
Billing Phone
2056213778
Specialty Type
Surgery, Orthopedic
Map
Address