David  G  Lemak    MD
Contract Details
Birmingham Orthopedics Sports and Spine
Facility name
Provider ID
P000000981
NPI
1578530499
Tax ID
383929666
Effective Date
12/8/2015
Last Updated
12/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
4600 Highway 280 Suite 200
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059715000 (Phone)
Billing Details
Address
4600 Highway 280
Suite 200
Birmingham, AL 35243
Billing Phone
Specialty Type
Surgery, Orthopedic
Map
Address