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Drew
Corbett
MD
Contract Details
Baldwin Bone & Joint, PC
Facility name
Provider ID
P000000344
NPI
1760478440
Tax ID
631283588
Effective Date
10/1/2001
Last Updated
7/29/2021
Direct Contract
No
Term Date
7/27/2021
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_448
AM_392
Location Details
Address
1505 Daphne Avenue
Daphne, AL 36526
United States
County
Baldwin
Phone
2516252663
(
Phone
)
Billing Details
Address
1505 Daphne Avenue
Daphne, AL 36526
Billing Phone
2516252663
Specialty Type
Surgery, Orthopedic
Map
Address