Holly    Woods    NP
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000000001
NPI
1508583048
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
833 Saint Vincent's Drive Suite 403
Birmingham, AL 35205
United States
Phone
205-939-0447 (Phone)
Billing Details
Address
833 Saint Vincent's Drive
Suite 403
Birmingham, AL 35205
Billing Phone
205-939-0447
Specialty Type
Nurse Practitioner
Map
Address