Taylor    Davis    PA-C
Contract Details
Alabama Bone & Joint Clinic
Facility name
Provider ID
P000009320
NPI
1689138067
Tax ID
274655689
Effective Date
3/1/1996
Last Updated
2/22/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 Cahaba Valley Parkway Suite 100
Pelham, AL 35124
United States
County
Shelby
Phone
2056213778 (Phone)
Billing Details
Address
120 Cahaba Valley Parkway
Suite 100
Pelham, AL 35124
Billing Phone
2056213778
Specialty Type
Surgery, Orthopedic
Map
Address