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
101 East 15th Avenue
Gulf Shores, AL 36542
United States
County
Baldwin
Phone
2514765050 (Phone)
Billing Details
Address
101 East 15th Avenue
Mobile, AL 36542
Billing Phone
2514765050
Specialty Type
Surgery, Orthopedic
Map
Address