Contract Details
Align Networks, Inc.
Facility name
Southern Bone & Joint Specialists
Provider ID
P000002418
NPI
1134106065
Tax ID
043821114
Effective Date
2/2/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1500 Ross Clark Circle
Dothan, AL 36303
United States
County
Houston
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address