Frank  S  Hodges    MD
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1215059746
Tax ID
275501752
Effective Date
8/2/2023
Last Updated
8/21/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
1020 26th Street
Birmingham, AL 35205
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
833 St. Vincent's Drive
Suite 403, Bld 3
Birmingham, AL 35205
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Map
Address