Michael  G  Martin    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000001064
NPI
1588691224
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/5/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
United States
County
Jefferson
Phone
2058383090 (Phone)
Billing Details
Address
7201 Happy Hollow Road
Birmingham, AL 35173
Billing Phone
2059390447
Specialty Type
Surgery, Orthopedic
Map
Address