Jeffrey  M  Conrad    MD
Contract Details
The Orthopaedic Group, P.C.
Facility name
Provider ID
P000000336
NPI
1720046600
Tax ID
631187140
Effective Date
6/15/1999
Last Updated
2/16/2021
Direct Contract
Yes
Term Date
3/7/2021
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1720 Springhill Avenue Suite 100
Mobile, AL 36604
United States
County
Mobile
Phone
2514765050 (Phone)
Billing Details
Address
1720 Springhill Avenue
Suite 100
Mobile, AL 36604
Billing Phone
2514765050
Specialty Type
Sports Medicine
Map
Address