James  R  Whatley    MD
Contract Details
The Orthopaedic Clinic--Auburn
Facility name
Provider ID
P000001847
NPI
1427009349
Tax ID
721376223
Effective Date
7/15/1998
Last Updated
12/10/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1800 Lakeside Circle
Auburn, AL 36830
United States
County
Lee
Phone
3347498303 (Phone)
Billing Details
Address
P.O. Box 2125
Opelika, AL 36803
Billing Phone
3347498303
Specialty Type
Surgery, Orthopedic
Map
Address