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Jeffrey
T
Smith
MD
Contract Details
Elite Orthopedics & Spine
Facility name
Provider ID
P000000001
NPI
1790744282
Tax ID
884053996
Effective Date
11/15/2022
Last Updated
11/17/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2660 10th Avenue S Bldg 1, Suite 107
Birmingham, AL 35205
United States
Phone
205-573-4700
(
Phone
)
Billing Details
Address
2660 10th Avenue S
Bldg 1, Suite 107
Birmingham, AL 35205
Billing Phone
205-573-4700
Specialty Type
Surgery, Orthopedic Spine
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