Fuller  W  McCab    MD
Contract Details
University Orthopaedic Clinic & Spine Center
Facility name
Provider ID
P000000001
NPI
1932593548
Tax ID
630732734
Effective Date
7/30/2021
Last Updated
7/30/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_452
Location Details
Address
305 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
United States
Phone
205-345-0192 (Phone)
Billing Details
Address
305 Paul W. Bryant Drive East
Tuscaloosa, AL 35401
Billing Phone
205-345-0192
Specialty Type
Surgery, Orthopedic
Map
Address