Jason  D  Cobb    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000007568
NPI
1235160847
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
52 Medical Park East Drive Suite 200
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058384747 (Phone)
Billing Details
Address
52 Medical Park East Drive
Suite 200
Birmingham, AL 35235
Billing Phone
2056233474
Specialty Type
Surgery, Orthopedic
Map
Address