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John
Featheringill
MD
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1972571891
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
5/4/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Exhibit Attachment
Location Details
Address
1021 Montgomery Hwy Suite 203
Vestavia Hills, AL 35216
United States
Phone
205-781-1950
(
Phone
)
Fax
205-787-0057
Billing Details
Address
P.O. Box 1144
Franklin, TN 37065
Billing Phone
205-781-1950
Specialty Type
Surgery, Orthopedic
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