Karl  E  Hofammann    MD
Contract Details
OrthoSports Associates--Talladega
Facility name
Provider ID
P000000769
NPI
1740258698
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/5/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
205 Medical Park
Talladega, AL 35160
United States
County
Talladega
Phone
2563621009 (Phone)
Billing Details
Address
205 Medical Park
Birmingham, AL 35160
Billing Phone
2058383090
Specialty Type
Surgery, Orthopedic
Map
Address