Contract Details
Facility name
Baldwin Bone & Joint, PC
Provider ID
P000007576
NPI
1790714459
Tax ID
631283588
Effective Date
10/1/2001
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
4/15/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
6701 Airport Boulevard Suite C-138
Mobile, AL 36608
United States
County
Mobile
Phone
2516252663 (Phone)
Billing Details
Address
1505 Daphne Avenue
Daphne, AL 36526
Billing Phone
2516252663
Specialty Type
Surgery, Orthopedic
Map
Address