Robert    Eichelberger    MD
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1427030642
Tax ID
275501752
Effective Date
10/26/2023
Last Updated
10/30/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
5850 Valley Road Suite 110
Trussville, AL 35235
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
P.O. Box 1144
Franklin, TN 37065
Billing Phone
205-838-3090
Specialty Type
Surgery, Orthopedic
Map
Address