John    Featheringill    MD
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1972571891
Tax ID
275501752
Effective Date
2/21/2023
Last Updated
3/2/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
2010 Patton Chapel Road Suite 100
Hoover, AL 35226
United States
Phone
205-783-5511 (Phone)
Billing Details
Address
P.O. Box 11407
Department 2004
Birmingham, AL 35246
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Map
Address