Michael    Ewing    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000000001
NPI
1669965588
Tax ID
275501752
Effective Date
10/1/2024
Last Updated
11/11/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
70 Plaza Drive Building 200 Suite B
Pell City, AL 35125
United States
Phone
205-939-0447 (Phone)
Billing Details
Address
70 Plaza Drive
Building 2
Pell City, AL 35125
Billing Phone
205-939-0447
Specialty Type
Surgery, Orthopedic
Map
Address