Michael    Ryan    MD
Contract Details
Andrews Sports Medicine & Orthopaedic Center
Facility name
Provider ID
P000009014
NPI
1124314612
Tax ID
475195311
Effective Date
11/13/2017
Last Updated
12/28/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
805 St. Vincent's Drive Suite 100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059393699 (Phone)
Billing Details
Address
805 St. Vincent's Drive
Suite 100
Atlanta, GA 35205
Billing Phone
2059393699
Specialty Type
Surgery, Orthopedic
Map
Address