Thomas  G  Terral    MD
Contract Details
Gulf Orthopaedics
Facility name
Provider ID
P000001719
NPI
1992703235
Tax ID
630730089
Effective Date
6/1/2024
Last Updated
10/10/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1720 Springhill Avenue Suite 3
Mobile, AL 36604
United States
County
Baldwin
Phone
251-435-2663 (Phone)
Billing Details
Address
1720 Springhill Avenue
Suite 3
Mobile, AL 36604
Billing Phone
251-435-2663
Specialty Type
Surgery, Orthopedic
Map
Address