Edward    Kim    MD
Contract Details
Andrews Sports Medicine & Orthopaedic Center
Facility name
Provider ID
P000000001
NPI
1023301801
Tax ID
475195311
Effective Date
10/1/2023
Last Updated
9/19/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2321 John Hawkins Parkway Suite 113
Hoover, AL 35244
United States
Phone
205-939-3699 (Phone)
Billing Details
Address
2321 John Hawkins Parkway
Suite 113
Hoover, AL 35244
Billing Phone
205-939-3699
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address