Victor    Chin    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000009386
NPI
1952437345
Tax ID
631262177
Effective Date
12/15/1999
Last Updated
8/16/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
Location Details
Address
4715 Whitesburg Drive SE
Huntsville, AL 35802
United States
County
Madison
Phone
2568815151 (Phone)
Billing Details
Address
4715 Whitesburg Drive SE
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Pain Management
Map
Address