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Contract Details
OrthoSports Associates
Facility name
Provider ID
P000009296
NPI
1396141651
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
817 Princeton Avenue Building 2, Suite 108
Birmingham, AL 35211
United States
County
Jefferson
Phone
2057811950 (Phone)
Billing Details
Address
817 Princeton Avenue
Building 2, Suite 108
Birmingham, AL 35211
Billing Phone
2059390447
Specialty Type
Occupational Therapy
Map
Address