John  D  Johnson    MD
Contract Details
SportsMed Orthopaedic & Spine Center
Facility name
Provider ID
P000000846
NPI
1477554517
Tax ID
631262177
Effective Date
8/1/2016
Last Updated
10/24/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
Location Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
United States
County
Madison
Phone
2568815151 (Phone)
Billing Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Surgery, Neurological
Map
Address