Contract Details
Facility name
The Orthopaedic Group
Provider ID
P000002461
NPI
1164489951
Tax ID
631187140
Effective Date
6/15/1999
Direct Contract
No
Term Date
6/25/2013
Status
Term
Contract Discounts
Location Details
Address
1301 Belleville Avenue
Brewton, AL 36427
United States
Phone
251-476-5050 (Phone)
Billing Details
Address
1301 Belleville Avenue
Mobile, AL 36427
Billing Phone
251-476-5050
Specialty Type
Physical Therapy
Map
Address