Christopher    Williams  II  OTR
Contract Details
Sherrill Orthopedics Sports and Hand Center
Facility name
Provider ID
P000008609
NPI
1235554924
Tax ID
474758186
Effective Date
3/16/2017
Last Updated
3/27/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
200 Montgomery Highway Suite 125
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058224357 (Phone)
Billing Details
Address
P.O. Box 742741
Atlanta, GA 30374
Billing Phone
2058224357
Specialty Type
Occupational Therapy
Map
Address