L. Dean    Mason  II  MD
Contract Details
The Orthopaedic Group, P.C.
Facility name
Provider ID
P000001068
NPI
1720046766
Tax ID
631187140
Effective Date
6/15/1999
Last Updated
2/16/2021
Direct Contract
Yes
Term Date
2/7/2021
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1711 North McKenzie Street
Foley, AL 36535
United States
County
Baldwin
Phone
2514765050 (Phone)
Billing Details
Address
1711 North McKenzie Street
Mobile, AL 36535
Billing Phone
2514765050
Specialty Type
Surgery, Orthopedic
Map
Address