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Contract Details
Facility name
The Orthopaedic Center
Provider ID
P000000001
NPI
1205880291
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Exhibit Attachment
Location Details
Address
104 Liberty Lane
Scottsboro, AL 35769
United States
Phone
256-574-4448
(
Phone
)
Billing Details
Address
104 Liberty Lane
Scottsboro, AL 35769
Billing Phone
256-574-4448
Specialty Type
Surgery, Orthopedic
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