Todd  D  Engerson    MD
Contract Details
The Orthopaedic Group, P.C.
Facility name
Provider ID
P000000501
NPI
1083692479
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
119 East Grove Hill Avenue
Grove Hill, AL 36451
United States
County
Clarke
Phone
2514765050 (Phone)
Billing Details
Address
119 East Grove Hill Avenue
Mobile, AL 36451
Billing Phone
2514765050
Specialty Type
Surgery, Orthopedic
Map
Address