Michael    Blackmer    MD
Contract Details
The Orthopaedic Group
Facility name
Provider ID
P000000001
NPI
1194141333
Tax ID
631187140
Effective Date
2/8/2021
Last Updated
2/23/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_473
Location Details
Address
1711 N McKenzie Street
Foley, AL 36535
United States
Phone
251-476-5050 (Phone)
Billing Details
Address
P.O. Box 86144
Mobile, AL 36689
Billing Phone
2514765050
Specialty Type
Surgery, Orthopedic
Website
Visit Website
Map
Address