Denise    Gardner    NP
Contract Details
Cullman Regional Orthopedics & Sports Medicine
Facility name
Provider ID
P000008607
NPI
1831136316
Tax ID
631157261
Effective Date
1/1/2017
Last Updated
3/20/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1942 Highway 157
Cullman, AL 35058
United States
County
Cullman
Phone
2567375115 (Phone)
Billing Details
Address
P.O. Box 867
Cullman, AL 35056
Billing Phone
2567375115
Specialty Type
Sports Medicine
Map
Address