Russell  A  Hudgens    MD
Contract Details
Alabama Orthopaedic Clinic
Facility name
Provider ID
P000000803
NPI
1417957754
Tax ID
631174582
Effective Date
7/1/2005
Last Updated
4/16/2015
Direct Contract
Yes
Term Date
4/16/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
220 Hospital Avenue
Jackson, AL 36545
United States
County
Clarke
Phone
2514103600 (Phone)
Billing Details
Address
3610 Springhill Memorial Drive North
Mobile, AL 36608
Billing Phone
2514103600
Specialty Type
Surgery, Orthopedic
Map
Address