Srinivas    Mallempati    MD
Contract Details
Ortho Alabama
Facility name
Provider ID
P000000001
NPI
1033177340
Tax ID
630954295
Effective Date
3/21/2005
Last Updated
10/30/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_094
Location Details
Address
41 Eminence Way Suite A
Pell City, AL 35128
United States
Phone
205-228-7600 (Phone)
Billing Details
Address
41 Eminence Way
Suite A
Pell City, AL 35128
Billing Phone
205-228-7600
Specialty Type
Surgery, Orthopedic
Website
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Map
Address