Thomas  J  Thomasson  IV  MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000001735
NPI
1962603084
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
2/2/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Location Details
Address
2330 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334
United States
County
Lincoln
Phone
9314388168 (Phone)
Billing Details
Address
2330 Thornton Taylor Pkwy
Ste B
Huntsville, AL 37334
Billing Phone
2565392728
Specialty Type
Surgery, Traumatic
Map
Address