Alfred    Malone    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000000001
NPI
1720252315
Tax ID
275501752
Effective Date
1/15/2025
Last Updated
1/21/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_502
Location Details
Address
5850 Valley Road Suite 110
Birmingham, AL 35235
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
5850 Valley Road
Suite 110
Birmingham, AL 35235
Billing Phone
205-939-0447
Specialty Type
Radiology, Diagnostic
Map
Address