Matt    Goldman    MD
Contract Details
Baldwin Bone & Joint, PC
Facility name
Provider ID
P000007707
NPI
1417166166
Tax ID
631283588
Effective Date
10/1/2001
Last Updated
7/29/2021
Direct Contract
Yes
Term Date
7/27/2021
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_448
Location Details
Address
4223 Orange Beach Boulevard Suite C
Daphne, AL 36526
United States
County
Baldwin
Phone
2519812663 (Phone)
Billing Details
Address
4223 Orange Beach Boulevard
Suite C
Daphne, AL 36526
Billing Phone
2516252663
Specialty Type
Surgery, Orthopedic
Map
Address