Hossein    Aziz    MD
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1790167054
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/17/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
1440 Jones Dairy Road
Jasper, AL 35501
United States
Phone
205-781-1950 (Phone)
Billing Details
Address
P.O. Box 1144
Franklin, TN 37065
Billing Phone
205-781-1950
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address