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Contract Details
Alabama Orthopedic, Spine & Sports Medicine Associates
Facility name
Ortho Alabama
Provider ID
P000000001
NPI
1659344984
Tax ID
630954295
Effective Date
2/15/1993
Last Updated
11/13/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
33637 Highway 280
Childersburg, AL 35044
United States
Phone
205-228-7600
(
Phone
)
Fax
205-639-0990
Billing Details
Address
33637 Highway 280
Childersburg, AL 35044
Billing Phone
205-228-7600
Specialty Type
Surgery, Orthopedic
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