Charles    Carnel    MD
Contract Details
Andrews Sports Medicine & Orthopaedic Center
Facility name
Provider ID
P000000001
NPI
1023228624
Tax ID
475195311
Effective Date
1/1/2020
Last Updated
12/28/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
State Fee Schedule Multiplier
85.00
Location Details
Address
805 St. Vincent's Drive Suite 100
Birmingham, AL 35205
United States
Phone
205-939-3699 (Phone)
Billing Details
Address
805 St. Vincent's Drive
Suite 100
Atlanta, GA 35205
Billing Phone
205-939-3699
Specialty Type
Physical Medicine & Rehabilitation