Michael  J  Kohrman    MD
Contract Details
Southern Pain and Rehab
Facility name
Provider ID
P000000932
NPI
1811044282
Tax ID
275204210
Effective Date
5/25/2011
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
4/1/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1815 Hand Avenue
Bay Minette, AL 36507
United States
County
Baldwin
Phone
2516260901 (Phone)
Billing Details
Address
7802 Delta Woods Drive
Bay Minette, AL 36507
Specialty Type
Pain Medicine
Map
Address